Organization Active NPI

Gary L Grimm DDS PLLC

Doing business as Innovative Smiles

  • Dentist
  • Gig Harbor, WA
National Provider Identifier
1255279220
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
GARY L GRIMM DDS PLLC
Doing business as
Innovative Smiles
Practice address
3413 56TH St Ste a
Gig Harbor, WA 98335-8341
Phone
(253) 858-7717
Fax
(253) 858-7605
NPI assigned
Mar 23, 2026
Last updated
Mar 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Gary Grimm, DDSNPI 1548474869
Title
Owner
Phone
(434) 227-2306

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X Primary

Addresses

Primary practice location

3413 56TH St Ste a
Gig Harbor, WA 98335-8341

Mailing address

3413 56TH St Ste a
Gig Harbor, WA 98335-8341
Phone (253) 858-7717

Other names 1

  • Innovative Smiles Doing business as

National Provider Directory

National Provider Directory

Locations

3413 56th St
Ste A
Gig Harbor, WA 98335
Phone (253) 858-7717

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1774224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774224000000",
    "number": "1255279220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3413 56TH ST STE A",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983358341",
            "telephone_number": "253-858-7717",
            "fax_number": "253-858-7605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3413 56TH ST STE A",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983358341",
            "telephone_number": "253-858-7717",
            "fax_number": "253-858-7605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY L GRIMM DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-23",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A",
        "authorized_official_last_name": "GRIMM",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "434-227-2306",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Innovative Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gig Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.