DR. RONALD A. GRACE DDS PLLC NPI 1043707334

NPI Information

  • NPI: 1043707334
  • Provider Name: DR. RONALD A. GRACE, DDS PLLC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Doing Business As: GRACE DENTAL CARE
  • Address: 15081 MACCORKLE AVE
    CHELYAN, WV
    ZIP 25035
  • Phone: (304) 595-3551

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NPI Details

DR. RONALD A. GRACE, DDS PLLC is a general practice dentist in Chelyan, WV. The provider is 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. DR. RONALD A. GRACE, DDS PLLC NPI is 1043707334. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Grace Dental Care.

The provider's business location address is:

15081 MACCORKLE AVE
CHELYAN, WV
ZIP 25035
Phone: (304) 595-3551
Fax: (304) 595-6822

The provider's authorized official is Ronald A Grace .
The authorized official title is Dentist and has the following contact phone number (304) 595-3551.

The enumeration date for this NPI number is 4/23/2018 and was last updated on 4/23/2018.

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
11223G0001XDentistGeneral Practice2678WEST VIRGINIAYes

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
10137007000MEDICAIDWEST VIRGINIA

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: 11/21/2025

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