Organization
JOHN MARSHALL GRADY DMD & ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN M GRADY DMD (OWNER)
(724) 935-9222
Entity
Organization
Contact information
Practice address
1000 BROOKTREE RD, SUITE 200, WEXFORD, PA 15090
(724) 935-9222
(724) 935-9241
Mailing address
1000 BROOKTREE RD, SUITE 200, WEXFORD, PA 15090
(724) 935-9222
(724) 935-9241
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DS026079L
PA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS028329L
PA
Other
Enumeration date
11/27/2006
Last updated
08/22/2020
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