| O'grady Orthodontics, P.c. | |
|
4027 Lake Drive Se Suite 130 Grand Rapids MI 49546-8812 | |
| (616) 949-2100 | |
| (616) 949-8239 |
| Full Name | O'grady Orthodontics, P.c. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 4027 Lake Drive Se, Grand Rapids, Michigan |
| Authorized Official Name and Position | Paul William O'grady (OWNER) |
| Authorized Official Contact | 6169492100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| O'grady Orthodontics, P.c. 4027 Lake Drive Se Suite 130 Grand Rapids MI 49546-8812 Ph: (616) 949-2100 | O'grady Orthodontics, P.c. 4027 Lake Drive Se Suite 130 Grand Rapids MI 49546-8812 Ph: (616) 949-2100 |
| NPI Number | 1396758595 |
|---|---|
| Provider Enumeration Date | 08/15/2006 |
| Last Update Date | 01/07/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396758595 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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