Organization
O'GRADY ORTHODONTICS, P.C.
Active
Organization
O'GRADY ORTHODONTICS, P.C.
Active
Other names
Scott & O'Grady Orthodontics, P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL WILLIAM O'GRADY DDS MS (OWNER)
(616) 949-2100
Entity
Organization
Contact information
Practice address
4027 LAKE DRIVE SE, SUITE 130, GRAND RAPIDS, MI 49546-8812
(616) 949-2100
(616) 949-8239
Mailing address
4027 LAKE DRIVE SE, SUITE 130, GRAND RAPIDS, MI 49546-8812
(616) 949-2100
(616) 949-8239
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
08/15/2006
Last updated
01/07/2009
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