Search › Indiana › 122300000X
Stephanie Grider, DMD
NPI 1033593413 · on the registry since 2015
Practice
- Address
- 6080 Lute Rd
Portage, IN 46368 - Phone
- (219) 763-6646
- Fax
- (219) 762-8763
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 122300000X
122300000X - Licence states on file
- IL, MI, IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-01-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana