DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KIMBERLY GRADY, DDS

Active

DR. KIMBERLY GRADY, DDS is a General Dentistry healthcare provider located in JBSA LACKLAND, Texas. NPI 1154310647 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · JBSA LACKLAND, TX

Registration Details

NPI Number
1154310647
Provider Type
Individual
Gender
Female
NPI Issued
Oct 18, 2005 (20.794757865512 yrs)
Last Updated
Jan 27, 2021
License
19560 (MA)

Practice Information

Address
1100 WILFORD HALL LOOP
BLDG 4554 ATTN 59 MDW/SGHC
JBSA LACKLAND, TX, 782369908
Browse TX providers · Browse ZIP 78236
Phone
2102926255
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Providers in JBSA LACKLAND, TX

Name Credential NPI
DR. JEFFREY P JESSUP DDS 1750375093
DR. AMAR KOSARAJU DMD 1841287000
DR. JANE SUEKO WALLACE DDS 1073500922
DR. SHERYL KANE DDS 1376527028
MICHAEL D. ZOLLARS D.M.D. 1538147954
DR. TIMOTHY WAYNE HATCHETT SR. D.D.S. 1023097086
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.