Individual
DR. JAMES DANIEL GRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
121 N 20TH ST, SUITE 20B, OPELIKA, AL 36801-5449
(334) 749-3436
(334) 749-3223
Mailing address
121 N 20TH ST, SUITE 20B, OPELIKA, AL 36801-5449
(334) 749-3436
(334) 749-3223
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2956CS
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000092695
—
AL
Enumeration date
08/25/2006
Last updated
04/24/2009
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