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Active NPI 1326779588 Individual Practitioner Male Practitioner

Dr. Jack Gradoville , DDS

Dentist - General Practice • Williamsburg, IA

Professional Overview & Biography Verified Profile Summary

Dr. Jack Gradoville, DDS is a registered healthcare professional specializing in Dentist - General Practice in Williamsburg, IA. Practice services are available at 827 S HIGHLAND ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

827 S Highland St

Williamsburg, IA 523619333

Telephone 3196689808
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Williamsburg, IA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.0 Yrs
Regional Practice Density
4 Specialists

Practicing in Williamsburg, IA (1303 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

CMS Verified: 2022-06-20
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IA DDS-10008

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Dental License Number
DDS-10008 (IA)

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Megan Grier , DDS

Dentist - General Practice

NPI 1215012067

Doctor of Dental Surgery

Dr. Brandon Svoboda , DDS

Dentist - General Practice

NPI 1225924780

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 20, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location June 20, 2022

Registered at 827 S HIGHLAND ST, WILLIAMSBURG, IA 523619333 (Tel: 3196689808)

📍
Updated Business Mailing Address June 20, 2022

Registered at 720 GREENWOOD DR, IOWA CITY, IA 522462124 (Tel: 5156640180)

👤
Provider Name / Credentials Updated June 20, 2022

Recorded as JACK GRADOVILLE, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 20, 2022

Dentist (License #DDS-10008 in IA)

🟢
Initial NPI Registration & Enumeration June 20, 2022

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: 1326779588
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 20, 2022
Last Update: June 20, 2022
Sole Proprietor: No

Mailing Address

720 Greenwood Dr

Iowa City, IA 522462124

Phone: 5156640180

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.