Grandy, Stephen B
Grandy, Stephen B is an individual health care provider with primary practice located at 465 Memorial Drive , Pocatello ID 83209-0000. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Grandy, Stephen B can be contacted via phone (208) 282-3289.Contact Information
Primary practice address
465 Memorial Drive
Pocatello ID 83209-0000
Phone: (208) 282-3289
Fax: (208) 282-5834
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | D-4593 | Idaho |
Profile Details
| NPI number | 1407261407 |
|---|---|
| LBN Legal business name | Grandy, Stephen B |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2014 |
| Last updated | Mar 7th, 2023 - about 3 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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