Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GRADY S RANDALL, DDS
ActiveGRADY S RANDALL, DDS is a Pediatric Dentistry healthcare provider located in GRAND RAPIDS, Michigan. NPI 1609188531 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · GRAND RAPIDS, MI
Registration Details
- NPI Number
- 1609188531
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 8, 2010 (16.14512690607 yrs)
- Last Updated
- Mar 28, 2019
- Licenses
-
DEN.00201849 (CO)2901022570 (MI)
Practice Information
- Address
-
1179 E PARIS AVE SEGRAND RAPIDS, MI, 495468371Browse MI providers · Browse ZIP 49546
- Phone
- 6169429840
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
- Additional Specialty
- Pediatric Dentistry
Other Pediatric Dentistry Providers in GRAND RAPIDS, MI
| Name | Credential | NPI |
|---|---|---|
| DR. GARY ALVIN COOK | DDS, MS | 1386696672 |
| DR. AMY KAY DEYOUNG | DDS, MS | 1386683530 |
| DR. ROBERT CRAIG PAYNE | D.D.S. | 1164462198 |
| DR. AIMEE CHRISTINE VALLEAU-HIER | D.D.S. | 1497860191 |
| DR. CHRISTOPHER EVERETT VANDEVEN | D.D.S. | 1639249154 |
| DR. VERONICA RAMIREZ HAMILTON | DDS, MS | 1164659900 |
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.