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DR. ROY L. GROB INC NPI 1336331990


NPI Information

NPI: 1336331990
Provider Name: DR. ROY L. GROB, INC
Classification: Dentist - 1223X0400X
Entity Type: Organization

Specialization: Orthodontics and Dentofacial Orthopedics

Address:
2245 11TH ST
SUITE C
MANDEVILLE, LA
ZIP 70471
Phone: (985) 626-4779
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DR. ROY L. GROB, INC is an orthodontics and dentofacial orthopedics dentist in Mandeville, LA. The provider is that area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. DR. ROY L. GROB, INC NPI is 1336331990. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2245 11TH ST
SUITE C
MANDEVILLE, LA
ZIP 70471-497
Phone: (985) 626-4779
Fax: (985) 626-4779

The provider's authorized official is Roy Louis Grob .
The authorized official title is Orthodontist and has the following contact phone number (985) 626-4779.

The enumeration date for this NPI number is 8/16/2007 and was last updated on 8/16/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223X0400XDentistOrthodontics and Dentofacial Orthopedics2058LOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10082058MEDICAIDLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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