Bernard L. Gradoville in Des Moines - General Practice
Bernard L. Gradoville - NPI 1619958600
Bernard L. Gradoville is a General Practice in Des Moines, Iowa. Bernard L. Gradoville practices all healthcare services and medical treatments related to General Practice. The NPI Number for Bernard L. Gradoville is 1619958600. The last update date is 2007-07-08.
Bernard L. Gradoville's current location address is 2800 Ingersoll Ave, Des Moines, Iowa. You can contact this provider via phone number 5152432412 and fax number 5152431248. The mailing address for Bernard L. Gradoville is 2800 Ingersoll Ave, Des Moines, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bernard L. Gradoville |
|---|---|
| Address | 2800 Ingersoll Ave, Des Moines, Iowa |
| Phone Number | 5152432412 |
| Fax Number | 5152431248 |
| Sole Proprietor | X |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1619958600 |
|---|---|
| Provider Enumeration Date | 2005-11-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2800 Ingersoll Ave |
|---|---|
| City | Des Moines |
| State | Iowa (IA) |
| Post Code | 503124013 |
| Phone Number | 5152432412 |
| Fax Number | 5152431248 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 7250 |
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Definition: 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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 48066 | IA | -- |
Post Comment/ Review Below
What is the Bernard L. Gradoville's 1619958600?
The Bernard L. Gradoville's NPI (National Provider Identifier) Number is 1619958600. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Bernard L. Gradoville?
The Bernard L. Gradoville is situated at 2800 Ingersoll Ave, in the city of Des Moines, state of IA, with the zip code 503124013.
What is Bernard L. Gradoville's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Bernard L. Gradoville is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services assign the 1619958600 to Bernard L. Gradoville?
The Centers for Medicare & Medicaid Services assigned the 1619958600 to Bernard L. Gradoville on 2005-11-08.
As of what date were the details related to Bernard L. Gradoville most recently updated or revised?
The information pertaining to Bernard L. Gradoville, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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