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Dr. Jack Gradoville, DDS
General Practice Dentistry in Williamsburg, Iowa
NPI 1326779588

Jack Gradoville is a General Practice Dentistry based in Iowa City, IA and is specialized in General Practice. Jack Gradoville practices in Williamsburg, IA and has the professional credentials of DDS. The NPI Number for Jack Gradoville is 1326779588 and holds a License No. DDS-10008 (Iowa).

The current practice location address for Jack Gradoville is 827 S Highland St, Williamsburg, IA and can be reached out via phone at 319-668-9808.

Location: 827 S Highland St, Williamsburg, IA, 52246-2124
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326779588
Provider Name
Jack Gradoville
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
827 S Highland St, Williamsburg, IA, 52246-2124
Phone Number
319-668-9808
Fax Number
Provider Enumeration Date
06/20/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DDS-10008 01 IA DENTAL LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
827 S Highland St
City
Williamsburg
State
Iowa
Zip
52361-9333
Phone Number
319-668-9808
Fax Number
person
Provider Business Mailing Address Details
Address
827 S Highland St
City
Williamsburg
State
Iowa
Zip
52361-9333
Phone Number
319-668-9808
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DDS-10008 (Iowa)
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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