Gregory G Grimaldi, DDS
Individual provider Active NPI General Practice Dentistry · Savannah, MO
NPI 1891762027 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1891762027
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 2005023695 (MO)
- Practice address
- 301A E Price Ave
Savannah, MO 64485-1739 - Phone
- (816) 324-5644
- Fax
- (816) 324-6307
- NPI assigned
- Mar 7, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130830000099 | KS | Order and Referring Only - Oral Surgery |
6709029325 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2005023695 | MO | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2005023695 | MO | Yes |
Addresses
Primary practice location
301A E Price Ave
Savannah, MO 64485-1739
Mailing address
301A E Price Ave
Savannah, MO 64485-1739
Phone (816) 324-5644
Other providers in Savannah, MO
- Wesley Dunn
- Christopher McCall Evans
- Sharon Evans
- Michelle Gibbons
- Stacy S Gondring-Beshears
- Troy Heckman
- Samantha Hindupur
- Hospice Preferred Choice, Inc.
- Danielle Leann Kneib
- Katey E Kroeger
All providers in Savannah, 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 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.