Sean P Grady, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

012052 Issued in GA

Practice address

10900 Medlock Bridge Rd
Suite 303
Duluth, GA 30097-1503

Phone

(678) 957-0770

Fax

(678) 957-0778

NPI assigned

Aug 5, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Grady Dental Care , LLC

  • Dental Clinic/Center
  • Cumming, GA
  • NPI 1902494008
  NPD Authorized official
• Grady Dental Care LLC

  • Dental Clinic/Center
  • Johns Creek, GA
  • NPI 1003404245
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295744407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10900 MEDLOCK BRIDGE RD",
            "address_2": "SUITE 303",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300971503",
            "telephone_number": "678-957-0770",
            "fax_number": "678-957-0778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10900 MEDLOCK BRIDGE RD",
            "address_2": "SUITE 303",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300971503",
            "telephone_number": "678-957-0770",
            "fax_number": "678-957-0778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRADY",
        "first_name": "SEAN",
        "middle_name": "P",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "012052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eva Florence Goyette, D.O.
• Grace Acupuncture & Oriental Medicine
• Grace Medical and Wellness Center, LLC
• Robert Davis Grace, D.C.
• Shannon Kathleen Gradert, PHARMD, RPH
• John C Graeber Jr., CAA
• Elena Granados-Barron
• Khaleal Granger
• Julie Ann Grant, PTA
• Lucinda Taylor Grapenthin, PH.D.

• General Practice Dentistry in Duluth, GA
• Providers in Duluth, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.