Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1407261407 Individual Practitioner Male Practitioner

Dr. Stephen B Grandy , DDS

Dentist • Pocatello, ID

Professional Overview & Biography Verified Profile Summary

Dr. Stephen Grandy, DDS is a registered healthcare professional specializing in Dentist in Pocatello, ID. Practice services are available at 465 MEMORIAL DRIVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

465 Memorial Drive

Pocatello, ID 832090000

Telephone 2082823289
Fax 2082825834
Associated Practice Facility / Clinic
🏢 Pocatello Family Medicine Facility NPI 1760739973

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Pocatello, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
34 Specialists

Practicing in Pocatello, ID (448 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License ID D-4593

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
NPI 1023422078

Doctor of Dental Surgery

NPI 1225481930

Doctor of Dental Surgery

Dr. Domenick Fuller , DDS

Dentist - General Practice

NPI 1649063850

Doctor of Dental Surgery

NPI 1700584794
Dr. Andrew Bohnsack , DDS

Dentist - General Practice

NPI 1811277742

Doctor of Dental Surgery

Dr. Daniel Yates , DMD

Dentist - General Practice

NPI 1972850444

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 22, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location August 22, 2014

Registered at 465 MEMORIAL DRIVE, POCATELLO, ID 832090000 (Tel: 2082823289)

📍
Updated Business Mailing Address August 22, 2014

Registered at 465 MEMORIAL DR, POCATELLO, ID 832090001 (Tel: 2082823289)

👤
Provider Name / Credentials Updated August 22, 2014

Recorded as STEPHEN GRANDY, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 22, 2014

Dentist (License #D-4593 in ID)

🟢
Initial NPI Registration & Enumeration June 27, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1407261407
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 27, 2014
Last Update: March 07, 2023
Sole Proprietor: No

Mailing Address

465 Memorial Dr

Pocatello, ID 832090001

Phone: 2082823289

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.