Dr Rex Eldon Grizzle, DDS in Pine Valley, CA - Dentist

Dr Rex Eldon Grizzle, DDS is a Dentist - General Practice based in Pine Valley, California. Dr Rex Eldon Grizzle is licensed to practice in California (license number 28699) and his current practice location is 28914 Old Hwy 80, Suite 104, Pine Valley, California. He can be reached at his office (for appointments etc.) via phone at (619) 473-8735.

NPI number for Dr Rex Eldon Grizzle is 1497818108 and his current mailing address is Po Box 839, Pine Valley, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1497818108.

Contact Information

	Dr Rex Eldon Grizzle, DDS
	28914 Old Hwy 80, Suite 104, Pine Valley, CA 91962
	(619) 473-8735
	(619) 473-8625

Healthcare Provider's Profile

Full Name	Dr Rex Eldon Grizzle
Gender	Male
Speciality	Dentist - General Practice
Location	28914 Old Hwy 80, Pine Valley, California
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1497818108
Provider Enumeration Date: 12/18/2006
Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Rex Eldon Grizzle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497818108	NPI	-	NPPES
28699	Other	CA	STATE DENTAL LICENSE #

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	28699 (California)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Rex Eldon Grizzle is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Rex Eldon Grizzle, DDS Po Box 839, Pine Valley, CA 91962-0839 Ph: (619) 473-8735	Dr Rex Eldon Grizzle, DDS 28914 Old Hwy 80, Suite 104, Pine Valley, CA 91962 Ph: (619) 473-8735

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Dr Rex Eldon Grizzle, DDS - Dentist in Pine Valley, CA