Paul W O'Grady in Grand Rapids - Orthodontics And Dentofacial Orthopedics
Paul W O'Grady - NPI 1962586792
Paul W O'Grady is a Orthodontics And Dentofacial Orthopedics in Grand Rapids, Michigan. Paul W O'Grady practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Paul W O'Grady is 1962586792. The last update date is 2009-01-07.
Paul W O'Grady's current location address is 4027 Lake Dr Se, Grand Rapids, Michigan. You can contact this provider via phone number 6169492100 and fax number 6169498239. The mailing address for Paul W O'Grady is 4027 Lake Dr Se, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Name | Paul W O'Grady |
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Address | 4027 Lake Dr Se, Grand Rapids, Michigan |
Phone Number | 6169492100 |
Fax Number | 6169498239 |
Sole Proprietor | N |
Credentials | DDS MS |
NPI Number Detail
NPI Number | 1962586792 |
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Provider Enumeration Date | 2006-10-25 |
Last Updated Date | 2009-01-07 |
Provider Mailing Address Detail
Address | 4027 Lake Dr Se |
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City | Grand Rapids |
State | Michigan (MI) |
Post Code | 495468812 |
Phone Number | 6169492100 |
Fax Number | 6169498239 |
Provider's Primary Taxonomy Detail
Speciality | Orthodontics And Dentofacial Orthopedics |
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Taxonomy | 1223X0400X |
Licence No | 17847 |
Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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4899515 | MI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Paul W O'Grady by the Centers for Medicare & Medicaid Services?
The Paul W O'Grady has been assigned the NPI (National Provider Identifier) 1962586792 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Paul W O'Grady's facilities are geographically located?
The facilities of Paul W O'Grady are physically situated at the following location: 4027 Lake Dr Se, Grand Rapids, MI, 495468812.
What is Paul W O'Grady's specialized field of practice, and what is the corresponding taxonomy classification code?
The Paul W O'Grady's area of specialization is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code that categorizes this field of practice is 1223X0400X.
On what date was the 1962586792 assigned to Paul W O'Grady?
The Paul W O'Grady was issued its 1962586792 on 2006-10-25, 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 pertaining to Paul W O'Grady last refreshed?
The information related to the Paul W O'Grady, including its address, specialty, and other relevant details, was last updated on 2009-01-07.