Jack Gradoville, DDS

NPI 1326779588 · on the registry since 2022

Practice

Address: 827 S Highland St
Williamsburg, IA 52361
Phone: (319) 668-9808
Organisation at this address: Williamsburg Dental Health Clinic Inc
Williamsburg Dental Health Clinic Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: IA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2022-06-20

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 Iowa