Dr. Paul R Grady , DDS
Dentist - General Practice • Plummer, ID
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Paul Grady has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Paul Grady, DDS was a registered Dentist - General Practice practicing in Plummer, ID. Throughout an active medical career spanning 17 years, Dr. Grady provided care at the practice location at 1115 B STREET until profile deactivation on 2022-10-05.
Practice Location & Contact Primary Location
1115 B Street
Plummer, ID 838510388
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Plummer, ID
Practicing in Plummer, ID (781 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Physician Assistant
Physician Assistant
Nurse Practitioner - Psychiatric/Mental Health
Advanced Practice Nurse Prescriber, Psychiatric-Mental Health Nurse Practitioner (Board Certified)
Counselor - Addiction (Substance Use Disorder)
Licensed Professional Counselor
Registered Nurse - Ambulatory Care
Registered Nurse
Counselor - Mental Health
Licensed Professional Counselor
Physical Therapist
Physical Therapist
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on October 05, 2022
NPI status registered as active in NPPES database
Registered at 1115 B STREET, PLUMMER, ID 838510388 (Tel: 2086861931)
Registered at 2616 E PACKSADDLE DR, COEUR D ALENE, ID 838157923 (Tel: 2086861110)
Recorded as PAUL GRADY, DDS
Dentist (License #D3849 in ID)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
2616 E Packsaddle Dr
Coeur D Alene, ID 838157923
Phone: 2086861110
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