Individual provider · Type 1 NPI

Paul W. O'Grady, DDS MS

Orthodontics and Dentofacial Orthopedics Dentistry · Grand Rapids, MI

NPI number 1962586792 Active

Practice location

4027 Lake Dr SE, Suite 130
Grand Rapids, MI 49546-8812

Fax (616) 949-8239

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	017847 (MI)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1962586792

Paul W. O'Grady, DDS MS's National Provider Identifier is 1962586792, issued on Oct 25, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Grand Rapids, MI. The record was last updated on Jan 7, 2009.