Individual provider · Type 1 NPI

Stephen B. Grandy, DDS

Dentist · Pocatello, ID

NPI number 1407261407 Active

Practice location

465 Memorial Drive
Pocatello, ID 83209-0000

Fax (208) 282-5834

Mailing address

465 Memorial Dr
Pocatello, ID 83209-0001

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XD-4593 (ID)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1407261407

Stephen B. Grandy, DDS's National Provider Identifier is 1407261407, issued on Jun 27, 2014. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Pocatello, ID. The record was last updated on Mar 7, 2023.