Provider Demographics
NPI:1821786013
Name:GRIN DENTAL AND ORTHODONTICS, PC
Entity Type:Organization
Organization Name:GRIN DENTAL AND ORTHODONTICS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINICPAL
Authorized Official - Prefix:
Authorized Official - First Name:SHUNDA
Authorized Official - Middle Name:THOMPSON
Authorized Official - Last Name:PRICE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:713-775-2888
Mailing Address - Street 1:3648 CYPRESS PARKWAY
Mailing Address - Street 2:SUITE 246
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77068-3648
Mailing Address - Country:US
Mailing Address - Phone:832-271-3200
Mailing Address - Fax:
Practice Address - Street 1:3648 CYPRESS PARKWAY
Practice Address - Street 2:SUITE 246
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77068-3648
Practice Address - Country:US
Practice Address - Phone:832-271-3200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-26
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty
No1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No1223P0221XDental ProvidersDentistPediatric DentistryGroup - Multi-Specialty
No1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Multi-Specialty
No1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Multi-Specialty