Gregory G Grillo DDS PS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7526 Issued in WA

Legal business name

GREGORY G GRILLO DDS PS

Practice address

739 Haussler Rd
Omak, WA 98841-9548

Phone

(509) 826-4050

Fax

(509) 826-0806

NPI assigned

Mar 8, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Greg Grillo, DDS

Title

Owner

Phone

(509) 826-4050

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437280922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1841",
            "address_2": "739 HAUSSLER RD",
            "city": "OMAK",
            "state": "WA",
            "postal_code": "988411841",
            "telephone_number": "509-826-4050",
            "fax_number": "509-826-0806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "739 HAUSSLER RD",
            "city": "OMAK",
            "state": "WA",
            "postal_code": "988419548",
            "telephone_number": "509-826-4050",
            "fax_number": "509-826-0806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY G GRILLO DDS PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRILLO",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-826-4050",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "7526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karmen Goodfellow, PT
• Shari Lynn Goodson, MSW
• Dianne Elaine Gray, ARNP
• Talyn Marlene Gray
• Alissa Noelle Greenberg
• Lance David Griffin, CRNA
• Grillo and Robeck PLLC (Grillo Robeck Dental)
• Gregory Gerald Grillo, DDS
• Gayle Marie Grubich, ARNP
• Autumn Layla Gruenwald

• General Practice Dentistry in Omak, WA
• Providers in Omak, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.