Individual provider · Type 1 NPI

Grady S. Randall, DDS

Pediatric Dentistry · Grand Rapids, MI

NPI number 1609188531 Active

Practice location

1179 E Paris Ave SE
Grand Rapids, MI 49546-8371

Call (616) 942-9840 Map

Mailing address

1179 E Paris Ave SE Ste 130
Grand Rapids, MI 49546-3682

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry 1223P0221XDEN.00201849 (CO)
Pediatric Dentistry Primary 1223P0221X2901022570 (MI)

Pediatric Dentistry: 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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About NPI 1609188531

Grady S. Randall, DDS's National Provider Identifier is 1609188531, issued on Jul 8, 2010. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Grand Rapids, MI. The record was last updated on Mar 28, 2019.