IndividualActive
Blair Gremillion, DDS
NPI 1508028986 · Endodontics · Prairieville, LA
Provider details
- NPI number
- 1508028986
- Entity type
- Individual
- Primary specialty
- EndodonticsDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 5722 (LA)
Specialties & taxonomies
Dental Providers
Practice location
17563 Old Jefferson Hwy
Prairieville, LA 70769-3930
Phone: (225) 677-5000
Fax: (225) 677-5022
Approximate (ZIP-level) locationGet directions
Mailing address
17563 Old Jefferson Hwy
Prairieville, LA 70769-3930
Registry dates
- Enumerated
- 2008-06-27
- Last updated
- 2008-06-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.