Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1457399214 Individual Practitioner Male Practitioner

Dr. John P Grim , DDS

Dentist - General Practice • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Dr. John Grim, DDS is a registered healthcare professional specializing in Dentist - General Practice in Jacksonville, FL. Practice services are available at 515 W 6TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

515 W 6th St

Jacksonville, FL 322064324

Telephone 9042531200
Fax 9042531956
Associated Practice Facility / Clinic
🏢 Florida Department Of Health Facility NPI 1528034170

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Jacksonville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
363 Specialists

Practicing in Jacksonville, FL (7473 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL DN5728

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0718874-00 (FL)
Medicaid State Provider ID
071887400 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Phillis Varnado , DDS

Dentist - General Practice

NPI 1265486260

Doctor of Dental Surgery

Dr. Yong Park , DMD

Dentist - General Practice

NPI 1902015415

Doctor of Dental Medicine

Dr. Leigh Wallace , DDS

Dentist - General Practice

NPI 1932367414

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 26, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location February 26, 2013

Registered at 515 W 6TH ST, JACKSONVILLE, FL 322064324 (Tel: 9042531200)

📍
Updated Business Mailing Address February 26, 2013

Registered at 900 UNIVERSITY BLVD N, MC - 75, JACKSONVILLE, FL 322119230 (Tel: 9042532062)

👤
Provider Name / Credentials Updated February 26, 2013

Recorded as JOHN GRIM, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 26, 2013

Dentist (License #DN5728 in FL)

🟢
Initial NPI Registration & Enumeration June 03, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1457399214
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 03, 2006
Last Update: February 26, 2013
Sole Proprietor: No

Mailing Address

900 University Blvd N, Mc - 75

Jacksonville, FL 322119230

Phone: 9042532062

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.