| John R Grady Dds Sc | |
|
522 Water St Sauk City WI 53583-1141 | |
| (608) 643-4441 | |
| Not Available |
| Full Name | John R Grady Dds Sc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 522 Water St, Sauk City, Wisconsin |
| Authorized Official Name and Position | John Robert Grady (PRESIDENT) |
| Authorized Official Contact | 6083569595 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John R Grady Dds Sc 918 Oak St Baraboo WI 53913-2168 Ph: (608) 356-9595 | John R Grady Dds Sc 522 Water St Sauk City WI 53583-1141 Ph: (608) 643-4441 |
| NPI Number | 1821294240 |
|---|---|
| Provider Enumeration Date | 06/22/2007 |
| Last Update Date | 07/27/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821294240 | NPI | - | NPPES |
| 33602700 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |