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JODI A MCGRADY DMD MS ADC NPI 1720576671


NPI Information

NPI: 1720576671
Provider Name: JODI A MCGRADY DMD, MS, ADC

Doing Business As: MCGRADY DENTAL GROUP

Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
12350 OAK KNOLL RD
POWAY, CA
ZIP 92064
Phone: (858) 748-3090
Get Directions

JODI A MCGRADY DMD, MS, ADC is a pediatric dentistry dentist in Poway, CA. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. JODI A MCGRADY DMD, MS, ADC NPI is 1720576671. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mcgrady Dental Group.

The provider's business location address is:

12350 OAK KNOLL RD
POWAY, CA
ZIP 92064
Phone: (858) 748-3090

The provider's authorized official is Jodi A Mcgrady .
The authorized official title is Dentist and has the following contact phone number (858) 748-3090.

The enumeration date for this NPI number is 4/26/2018 and was last updated on 6/8/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0221XDentistPediatric Dentistry57570CALIFORNIAYes

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
11548316391OTHERINDIVIDUAL NPI

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: 11/14/2023

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