Paul Eugene Griner, D.D.S.
Individual provider Active NPI General Practice Dentistry · Windsor, MO
NPI 1831243427 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1831243427
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 013476 (MO)
- Practice address
- 106 E Colt St
Windsor, MO 65360-1806 - Phone
- (660) 647-3133
- NPI assigned
- Jan 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013476 | MO | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 013476 | MO | Yes |
Addresses
Primary practice location
106 E Colt St
Windsor, MO 65360-1806
Mailing address
PO Box 89
Windsor, MO 65360-0089
Phone (660) 647-3133
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 401501101 | Medicaid | MO |
Other providers in Windsor, MO
- Jennifer G. Dier
- Amie Lynn Etters
- Patrick James Fletcher
- Fresh Start Adult Day Care of Missouri Inc
- Golden Valley Memorial Hospital District
- John Grither
- Anita Harrelson
- Henry County R-I
- Ashley Dawn Himes
- Catherine Michele Jaegers
All providers in Windsor, MO · General Practice Dentistry in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.