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Contact Information

RYAN P GRADY, DDS
126 WEST COLORADO AVE
SUITE 203
TELLURIDE, CO81435
 Phone: 970-728-4336
 Fax: 970-369-4386
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for RYAN P GRADY · (Male)

NPI Number 1093942443
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 06/12/2009
Last updated 06/12/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • CO License # DEN-9922
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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