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ANN MARIE GRADY D.D.S. PC NPI 1063569929


NPI Information

NPI: 1063569929
Provider Name: ANN MARIE GRADY, D.D.S., PC
Classification: Dentist - 1223P0106X
Entity Type: Organization

Specialization: Oral and Maxillofacial Pathology

Address:
1313 E HERNDON AVE STE 104
FRESNO, CA
ZIP 93720
Phone: (559) 435-7993
Get Directions

ANN MARIE GRADY, D.D.S., PC is an oral and maxillofacial pathology dentist in Fresno, CA. The provider is the specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. ANN MARIE GRADY, D.D.S., PC NPI is 1063569929. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1313 E HERNDON AVE STE 104
FRESNO, CA
ZIP 93720-306
Phone: (559) 435-7993
Fax: (559) 435-7935

The provider's authorized official is Ann Marie Grady .
The authorized official title is Owner and has the following contact phone number (559) 435-7993.

The enumeration date for this NPI number is 1/4/2007 and was last updated on 11/29/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0106XDentistOral and Maxillofacial Pathology53741CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1DS0537410MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAMEDICARE
253741OTHERCALIFORNIADENTAL LICENSE

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: 4/28/2024

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