Individual provider · Type 1 NPI
Kent W. Gragg, DDS
Periodontics · Ogden, IA
NPI number
1639388697
Active
Practice location
237 West Mulberry
Ogden, IA 50212-0813
Fax (515) 275-2816
Mailing address
422 Olympic Dr
Waterloo, IA 50701-4972
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 6265 (IA) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Another provider at this address
About NPI 1639388697
Kent W. Gragg, DDS's National Provider Identifier is 1639388697, issued on May 22, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Ogden, IA. The record was last updated on Jul 8, 2007.