ANN MARIE GRADY


Address: 1313 E Herndon Ave, 104, Fresno, CA 93720-3306
Phone: 5594357993

ANN MARIE GRADY (NPI# 1306920970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306920970
Entity Type Individual
Full Name ANN MARIE GRADY
Credential D.D.S.
Practice Address 1313 E Herndon Ave
104
Fresno
CA 93720-3306
Practice Telephone 5594357993
Practice Fax Number 5594357935
Mailing Telephone 5594357993
Mailing Fax Number 5594357935
Enumeration Date 2006-10-24
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 204E00000X Oral & Maxillofacial Surgery 53741 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA D.D.S. 53741 01
CA DEA CERTIFICATE BG7743633 01

Office Location

Street Address 1313 E HERNDON AVE
104
City FRESNO
State CA
Zip Code 93720-3306

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366447658 Vickie A Walton Specialist 1313 E Herndon Ave, Ste 205, Fresno, CA 93720-3306 2005-06-14
1558980003 Rameet Singh Sidhu Student in an Organized Health Care Education/Training Program 1313 E Herndon Ave, Fresno, CA 93720-3306 2020-04-14
1356960108 Paul A. Kohanteb Student in an Organized Health Care Education/Training Program 1313 E Herndon Ave, Fresno, CA 93720-3306 2020-04-12
1942829791 Jasdave S. Maan Student in an Organized Health Care Education/Training Program 1313 E Herndon Ave, Fresno, CA 93720-3306 2020-04-12
1417576208 Derrick Martin Student in an Organized Health Care Education/Training Program 1313 E Herndon Ave, Fresno, CA 93720-3306 2020-04-11
1639798507 Anand Neil Shivaprasad Student in an Organized Health Care Education/Training Program 1313 E Herndon Ave, Fresno, CA 93720-3306 2020-04-10
1568081750 Yudhveer Brar Student in an Organized Health Care Education/Training Program 1313 E Herndon Ave, Fresno, CA 93720-3306 2020-04-09
1023637188 Brian Nan Peng Student in an Organized Health Care Education/Training Program 1313 E Herndon Ave, St 105, Fresno, CA 93720-3306 2020-04-09
1699394627 Harjot Kaur Bath Student in an Organized Health Care Education/Training Program 1313 E Herndon Ave, Fresno, CA 93720-3306 2020-04-09
1154940245 Harkanwal Kaur Student in an Organized Health Care Education/Training Program 1313 E Herndon Ave, Fresno, CA 93720-3306 2020-04-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366061129 Ariel Lok Yen Leung Student in an Organized Health Care Education/Training Program 1313 East Herndon Ave, St 105, Fresno, CA 93720 2020-04-13
1457992513 Brittany Nichole Willis Audiologist 1351 E Spruce Ave Ste 130, Fresno, CA 93720 2019-09-30
1013567668 Taylor Courteney Cox Physical Therapist 7080 N. Maple Ave #101, Fresno, CA 93720 2019-09-16
1457909152 Lillian M Augilera Technician 8419 N Dearing Ave, Fresno, CA 93720 2019-08-27
1215581764 Sterling Hospitalist Medical Group, Inc. Clinic/Center 1191 E. Herndon Avenue Suite 103, Fresno, CA 93720 2019-08-01
1376006429 Nancy Minh Thao Dang Student in an Organized Health Care Education/Training Program 1313 E. Herndon Ave, St 105, Fresno, CA 93720 2019-04-06
1366904716 Shankar Nair Student in an Organized Health Care Education/Training Program 1313 E. Herndon Ave, St 105., Fresno, CA 93720 2019-04-04
1861979544 Powell Pediatric Dentistry Chestnut Partnership Dentist 7005 N. Chestnut Ave Ste 101, Fresno, CA 93720 2018-07-25
1669967311 Sierra Pacific Orthopaedic Center Medical Group Inc Specialist 1270 E. Spruce, Fresno, CA 93720 2018-06-26
1689168700 Vinita Vishnoi Student in an Organized Health Care Education/Training Program 1313 E. Herndon Ave, St 105, Fresno, CA 93720 2018-06-21
Find all providers in zip 93720

Taxonomy Information

Taxonomy Code 204E00000X
Grouping Allopathic & Osteopathic Physicians
Classification Oral & Maxillofacial Surgery

Taxonomy Definition

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922219237 George M Zakhary Oral & Maxillofacial Surgery 215 N Fresno St, Suite 490, Fresno, CA 93701-2124 2007-05-25

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1457983025 Olena Norris Dds Dental Corporation Oral & Maxillofacial Surgery 5060 California Ave Ste 202, Bakersfield, CA 93309-7087 2020-02-11
1306498829 Henry Mayo Newhall Clinics, LLC Oral & Maxillofacial Surgery 25751 Mcbean Pkwy Ste 220, Valencia, CA 91355-3701 2019-07-15
1396211926 Fremont Oral & Maxillofacial Surgery Oral & Maxillofacial Surgery 39210 State St Ste 115, Fremont, CA 94538-1456 2018-10-22
1013495985 Ned L. Nix, Dds, Inc Oral & Maxillofacial Surgery 704 Blossom Hill Rd Ste 102, San Jose, CA 95123-5403 2018-08-02
1811475759 University of California Sfgh Medical Group Oral & Maxillofacial Surgery 1001 Potrero Avenue, Bldg 5, Room 1n1, San Francisco, CA 94110-3518 2018-08-02
1235649690 Mac Dental Corporation Oral & Maxillofacial Surgery 9855 Erma Road, #110, Scripps Periodontics, San Diego, CA 92131 2017-10-11
1710354162 Michael J. Belton Dds,md Inc. Oral & Maxillofacial Surgery 2045 Compton Ave Ste 102, Corona, CA 92881-7293 2015-09-01
1508263740 F.a.c.e. Surgical Center of The Desert Oral & Maxillofacial Surgery 1900 E Tahquitz Canyon Way Ste C4, Palm Springs, CA 92262-7062 2014-12-03
1407114499 Niloofar Deyhim Oral & Maxillofacial Surgery 853 Middlefield Rd Ste 1, Palo Alto, CA 94301-2900 2012-04-26
1437479144 Brian Robert Carr Oral & Maxillofacial Surgery 521 Parnassus Ave # C-522, San Francisco, CA 94143-0440 2010-06-03
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Competitor

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City FRESNO
Zip Code 93720

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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