Dr John Robert Grady, DDS is a
Dentist - Orthodontics And Dentofacial Orthopedics based in Sauk City, Wisconsin. Dr John Robert Grady is licensed to practice in Wisconsin (license number 53000902) and his current practice location is
522 Water St, Sauk City, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(608) 643-4441.
NPI number for Dr John Robert Grady is 1245439363 and his current mailing address is 918 Oak St, Baraboo, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1245439363.
Healthcare Provider's Profile
| Full Name | Dr John Robert Grady |
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| Gender | Male |
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| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
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| Location | 522 Water St, Sauk City, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1245439363
- Provider Enumeration Date: 07/18/2007
- Last Update Date: 07/27/2007
Medical Identifiers
Medical identifiers for Dr John Robert Grady such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245439363 | NPI | - | NPPES |
| 3360270 | Other | WI | BADGERCARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 53000902 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr John Robert Grady is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr John Robert Grady, DDS
918 Oak St,
Baraboo, WI 53913-2168
Ph: (608) 356-9595 | Dr John Robert Grady, DDS
522 Water St,
Sauk City, WI 53583-1141
Ph: (608) 643-4441 |
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