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Grady S Randall, DDS
Pediatric Dentist in Grand Rapids, Michigan
NPI 1609188531

Grady S Randall is a Pediatric Dentist based in Grand Rapids, MI and is specialized in Pediatric Dentistry. Grady S Randall practices in Grand Rapids, MI and has the professional credentials of DDS. The NPI Number for Grady S Randall is 1609188531 and holds a License No. DEN.00201849 (Michigan).

The current practice location address for Grady S Randall is 1179 E Paris Ave Se, Grand Rapids, MI and can be reached out via phone at 616-942-9840.

Location: 1179 E Paris Ave Se, Grand Rapids, MI, 49546-3682
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609188531
Provider Name
Grady S Randall
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1179 E Paris Ave Se, Grand Rapids, MI, 49546-3682
Phone Number
616-942-9840
Fax Number
Provider Enumeration Date
07/08/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1179 E Paris Ave Se
City
Grand Rapids
State
Michigan
Zip
49546-8371
Phone Number
616-942-9840
Fax Number
person
Provider Business Mailing Address Details
Address
1179 E Paris Ave Se
City
Grand Rapids
State
Michigan
Zip
49546-8371
Phone Number
616-942-9840
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
DEN.00201849 (Colorado)
Definition
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.
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