Jesse Gridley, DMD

NPI 1821398223 · on the registry since 2010

Practice

Address: 1885 Waite St
North Bend, OR 97459
Phone: (541) 756-1117
Fax: (541) 756-3811
Organisation at this address: Darin G O'Bryan Dds Llc
Waterfall Clinic Incorporated
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: OR
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2010-11-01

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 Oregon