Jack Gradoville, DDS

General Practice Dentistry · Williamsburg, IA

Individual Active NPI

NPI number 1326779588

Practice location

827 S Highland St
Williamsburg, IA 52361-9333
Phone
(319) 668-9808

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NPI record

NPI
1326779588
Entity type
Individual (Type 1)
Enumeration date
June 20, 2022
Last updated
June 20, 2022
Certified
June 20, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DDS-10008 IA

Mailing address

720 Greenwood Dr
Iowa City, IA 52246-2124
Phone
(515) 664-0180

About Dr. Gradoville

Jack Gradoville, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 827 S Highland St, Williamsburg, IA 52361-9333. The NPI number 1326779588 was assigned on June 20, 2022 and the record was last updated on June 20, 2022.

Dr. Gradoville lists a license in the registry: #DDS-10008 (IA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jack Gradoville, DDS?

The NPI number is 1326779588.

What is the phone number of Dr. Gradoville?

The phone number listed for the practice location is (319) 668-9808.

Where is Dr. Gradoville located?

827 S Highland St, Williamsburg, IA 52361-9333.

What is the taxonomy code for Dr. Gradoville?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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.

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