Ann Marie Grady, D.D.S., Pc in Fresno - Oral And Maxillofacial Pathology

Ann Marie Grady, D.D.S., Pc - NPI 1063569929

Ann Marie Grady, D.D.S., Pc is a Oral And Maxillofacial Pathology in Fresno, California. Ann Marie Grady, D.D.S., Pc practices all healthcare services and medical treatments related to Oral And Maxillofacial Pathology. The NPI Number for Ann Marie Grady, D.D.S., Pc is 1063569929. The last update date is 2007-11-29.

Ann Marie Grady, D.D.S., Pc's current location address is 1313 E. Herndon Ave. #104, Fresno, California. You can contact this provider via phone number 5594357993 and fax number 5594357935. The mailing address for Ann Marie Grady, D.D.S., Pc is 1313 E. Herndon Ave. #104, Fresno, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Ann Marie Grady, D.D.S., Pc
Address 1313 E. Herndon Ave. #104, Fresno, California
Phone Number 5594357993
Fax Number 5594357935
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Grady Ann Marie
Credentials D.D.S.
Telephone Number 5594357993

NPI Number Detail

NPI Number 1063569929
Provider Enumeration Date 2007-01-04
Last Updated Date 2007-11-29

Provider Mailing Address Detail

Address 1313 E. Herndon Ave. #104
City Fresno
State California (CA)
Post Code 93720
Phone Number 5594357993
Fax Number 5594357935

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Pathology
Taxonomy 1223P0106X
Licence No 53741
Definition:
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
53741 CA DENTAL LICENSE

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FAQs about Ann Marie Grady, D.D.S., Pc

What is the unique 10-digit identification code issued to Ann Marie Grady, D.D.S., Pc by the Centers for Medicare & Medicaid Services?

The Ann Marie Grady, D.D.S., Pc has been assigned the NPI (National Provider Identifier) 1063569929 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you share the physical location details of Ann Marie Grady, D.D.S., Pc?

The Ann Marie Grady, D.D.S., Pc is situated at 1313 E. Herndon Ave. #104, in the city of Fresno, state of CA, with the zip code 93720.

What is the area of specialization for Ann Marie Grady, D.D.S., Pc, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Ann Marie Grady, D.D.S., Pc is Oral And Maxillofacial Pathology, and the corresponding taxonomy code that categorizes this area of expertise is 1223P0106X.

On what date was the 1063569929 assigned to Ann Marie Grady, D.D.S., Pc?

The Ann Marie Grady, D.D.S., Pc was issued its 1063569929 on 2007-01-04, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Ann Marie Grady, D.D.S., Pc most recently updated or revised?

The information pertaining to Ann Marie Grady, D.D.S., Pc, including its address, specialty, and other relevant details, was last updated or revised on 2007-11-29.

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