Grady, James Daniel

Grady, James Daniel is an individual health care provider with primary practice located at 121 N 20Th St Suite 20B, Opelika AL 36801-5449. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Grady, James Daniel can be contacted via phone (334) 749-3436.

Contact Information

Primary practice address
121 N 20Th St Suite 20B Opelika AL 36801-5449
Phone: (334) 749-3436
Fax: (334) 749-3223
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 2956CS Alabama

Profile Details

NPI number 1528175270
LBN Legal business name Grady, James Daniel
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2006
Last updated Apr 24th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528175270 NPPES
Alabama MEDICAID 000092695

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