| Grady S Randall, DDS | |
|
1179 E Paris Ave Se, Grand Rapids, MI 49546-8371 | |
| (616) 942-9840 | |
| Not Available |
| Full Name | Grady S Randall |
|---|---|
| Gender | Male |
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1179 E Paris Ave Se, Grand Rapids, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609188531 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DEN.00201849 (Colorado) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | 2901022570 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Grady S Randall, DDS 1179 E Paris Ave Se Ste 130, Grand Rapids, MI 49546-3682 Ph: (616) 942-9840 | Grady S Randall, DDS 1179 E Paris Ave Se, Grand Rapids, MI 49546-8371 Ph: (616) 942-9840 |
Dr. Robert Graham Greenland, DDS, MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1179 E Paris Ave Se Ste 100, Grand Rapids, MI 49546 Phone: 616-256-8770 Fax: 616-327-7452 | |
Dr. Randy James Breen, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 515 Lakeside Dr Se, #208, Grand Rapids, MI 49506 Phone: 616-454-9091 Fax: 616-454-1159 | |
Dr. Mary Bernona Stevens, D.D.S Dentist Medicare: Medicare Enrolled Practice Location: 1172 Nixon Ave Nw, Grand Rapids, MI 49544 Phone: 616-453-0644 Fax: 616-453-0640 | |
Dr. Robert L Kintz, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2144 E Paris Ave Se, Suite 150, Grand Rapids, MI 49546 Phone: 616-942-2000 Fax: 616-942-6805 | |
Dr. Matthew P. Durham, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 2700 5 Mile Rd Ne, Ste. #201, Grand Rapids, MI 49525 Phone: 616-361-1727 Fax: 616-361-1455 | |
Joseph Williams, D.D.S Dentist Medicare: Medicare Enrolled Practice Location: 101 Sheldon Blvd Se, Grand Rapids, MI 49503 Phone: 616-776-2340 | |
Dr. Mark Louis Salhaney, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4500 Cascade Rd Se, Ste. 107, Grand Rapids, MI 49546 Phone: 616-957-1304 Fax: 616-957-4757 |