Whalio Doctors

NPI 1215298567

Clark W Grilliot, DDS

Practitioner General Practice Dentistry McAlester, OK

Practice location

Address
215 N 6th St, McAlester, OK 74501-4737
Phone
(918) 423-0200
Fax
(918) 423-6940

Registered specialties

General Practice Dentistry Primary
Dental Providers Taxonomy 1223G0001X Licence 6390 (OK)

Registry record

NPI
1215298567
Entity type
Individual
Sex (as registered)
Male
NPI issued
4 Jun 2012
Record last updated
4 Jun 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.