Individual provider · Type 1 NPI

Jesse R. Gridley, DMD

General Practice Dentistry · North Bend, OR

NPI number 1821398223 Active

About NPI 1821398223

Jesse R. Gridley, DMD's National Provider Identifier is 1821398223, issued on Nov 1, 2010. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in North Bend, OR. The record was last updated on Nov 1, 2010.