Nathan Alphonso Graddy, D.D.S

Dentist · Port Richey, FL

Individual Active NPI

NPI number 1225318025

Practice location

9721 Us Highway 19
Port Richey, FL 34668-7503
Phone
(727) 846-7555

Open in Google Maps

NPI record

NPI
1225318025
Entity type
Individual (Type 1)
Enumeration date
August 24, 2011
Last updated
December 27, 2019
Certified
December 27, 2019
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X DN4964 FL

Mailing address

PO Box 82969
Tampa, FL 33682-2969
Phone
(813) 866-0930
Fax
(813) 405-3722

Other practice locations (1)

  • 2727 W Dr Martin Luther King Jr Blvd, Suite 120, Tampa, FL 33607-6383 · (813) 221-0010

About Dr. Graddy

Nathan Alphonso Graddy, D.D.S is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 9721 Us Highway 19, Port Richey, FL 34668-7503. The NPI number 1225318025 was assigned on August 24, 2011 and the record was last updated on December 27, 2019.

Dr. Graddy lists a license in the registry: #DN4964 (FL) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Nathan Alphonso Graddy, D.D.S?

The NPI number is 1225318025.

What is the phone number of Dr. Graddy?

The phone number listed for the practice location is (727) 846-7555.

Where is Dr. Graddy located?

9721 Us Highway 19, Port Richey, FL 34668-7503.

What is the taxonomy code for Dr. Graddy?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Dentist providers in Port Richey

All Dentist providers in Port Richey, FL →