Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Heatherly Henson Grissom, DMD

Individual provider General Practice Dentistry · NPI 1699921965

Dr. Heatherly Henson Grissom, DMD practises General Practice Dentistry in Madison, Mississippi. Licensed in Mississippi. Registered with an NPI since 2008.

Licensed in
MS
In the registry since
2008
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

1896 Main St Ste B
Madison, MS 39110-7676 Not confirmed with CMS for 18 years — call before visiting
Phone: (601) 898-9390
Fax: (601) 898-9395
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 3228-02 (MS)

Record details

NPI number1699921965
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedAugust 18, 2008
Last updated in NPPESAugust 18, 2008

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