Matt Tavis Grill, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN013009 Issued in GA

Practice address

207 E 31St St
Savannah, GA 31401-7304

Phone

(912) 232-2779

NPI assigned

Sep 7, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Morrison Dental Associates, P.C.

  • Dentist
  • Savannah, GA
  • NPI 1114154390
  NPD (past)

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269907200000",
    "number": "1649264565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 E OGLETHORPE AVE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314013805",
            "telephone_number": "843-290-0573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 E 31ST ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314017304",
            "telephone_number": "912-232-2779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRILL",
        "first_name": "MATT",
        "middle_name": "TAVIS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2010-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN013009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer L. Griffith, NNP
• Matthew Scott Griffith, M.D.
• Deborah A Griggs, APRN,BC
• Lauren Paige Griggs
• Nigel Griggs
• Gabriela Grillo
• Victoria M Grim
• Ashby L Grimmett Jr., RPH
• Katherine Grimmett, PT
• Kara Grisell

• General Practice Dentistry in Savannah, GA
• Providers in Savannah, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.