Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACK GRADOVILLE, DDS
ActiveDR. JACK GRADOVILLE, DDS is a General Dentistry healthcare provider located in WILLIAMSBURG, Iowa. NPI 1326779588 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · WILLIAMSBURG, IA
Registration Details
- NPI Number
- 1326779588
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 20, 2022 (4.1242317973388 yrs)
- Last Updated
- Jun 20, 2022
- License
-
DDS-10008 (IA)
Practice Information
- Address
-
827 S HIGHLAND STWILLIAMSBURG, IA, 523619333Browse IA providers · Browse ZIP 52361
- Phone
- 3196689808
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in WILLIAMSBURG, IA
| Name | Credential | NPI |
|---|---|---|
| MEGAN LYNN GRIER | DDS | 1215012067 |
| BRITTANIE WILSON | DDS | 1376103663 |
| DR. BRANDON DOUGLAS SVOBODA | DDS | 1225924780 |
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.