DR. KENT W. GRAGG (NPI# 1639388697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639388697 |
| Entity Type | Individual |
| Full Name | DR. KENT W. GRAGG |
| Credential | D.D.S. |
| Practice Address |
237 West Mulberry Ogden IA 50212-0813 |
| Mailing Address |
422 Olympic Dr Waterloo IA 50701-4972 |
| Practice Telephone | 5152752250 |
| Practice Fax Number | 5152752816 |
| Mailing Telephone | 3192326239 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
6265 | IA | Dental Providers |
| Street Address |
237 WEST MULBERRY |
| City | OGDEN |
| State | IA |
| Zip Code | 50212-0813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518955376 | Mark W. Platt | Dentist | 237 West Mulberry, Ogden, IA 50212-0813 | 2005-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295797579 | Ogden Manor LLC | Skilled Nursing Facility | 625 E Oak, Ogden, IA 50212 | 2006-04-04 |
| 1659464105 | Swanson Drug Inc. | Pharmacist | 305 W.walnut St., Ogden, IA 50212-0444 | 2006-10-02 |
| 1528145976 | Ogden Family Dental Plc | Dentist | 237 W Mulberry, Ogden, IA 50212-0813 | 2006-11-01 |
| 1518094242 | Jeffrey R Gragg | Dentist | 237 W Mulberry, Ogden, IA 50212-0813 | 2007-02-28 |
| 1730503319 | Boone County Hospital | Clinic/Center | 320 W Walnut St, Ogden, IA 50212-0820 | 2014-02-18 |
| 1639410137 | Angela Christner & Associates LLC | Nurse Practitioner | 125 W Walnut St, Ogden, IA 50212-2046 | 2013-03-07 |
| 1265756688 | Ogden Community School District | Local Education Agency (LEA) | 732 W Division St, Ogden, IA 50212-3021 | 2010-03-15 |
| 1952847410 | Boone County Hospital | Physical Therapist | 317 W Walnut St, Ogden, IA 50212-3048 | 2017-01-09 |
| 1013290030 | Functional Chiropractic Pllc | Chiropractor | 329 W Walnut St, Ogden, IA 50212-3048 | 2011-09-26 |
| 1063608099 | Patricia L. Swanson | Pharmacist | 305 W Walnut St, Ogden, IA 50212-3048 | 2007-09-24 |
| Find all providers in zip 50212 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811024011 | Daniel Kim Cassity | Dentist | 5331 S Adams Ave, Ste A, Ogden, UT 84405-4753 | 2007-02-27 |
| 1548330004 | Robert Wade Ferrell | Dentist | 1508 E Skyline Dr, Suite #300, Ogden, UT 84405-4846 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235669615 | Sima Zitouni | Dentist | 320 Mckenzie Ave Ste 207, Council Bluffs, IA 51503-1002 | 2017-06-18 |
| 1730595463 | Sarah Rinehart | Dentist | 1517 Mall Dr, Iowa City, IA 52240-3111 | 2014-07-02 |
| 1366878308 | Theodoros Katsaros | Dentist | 446 Dental Science Bldg S, Iowa City, IA 52242-1001 | 2013-09-23 |
| 1730487224 | Gustavo Avila Ortiz | Dentist | 322 Dental Science Bldg. S445, S445, Iowa City, IA 52242-1001 | 2011-03-07 |
| 1992951552 | Bill Campbell Rubright | Dentist | 31 Forest Hill Pl Ne, Iowa City, IA 52240-9125 | 2008-08-14 |
| 1205094570 | Parkway Periodontal Group PC | Dentist | 4090 Westown Parkway #a-4, West Des Moines, IA 50266 | 2008-05-23 |
| 1962660274 | Satheesh Elangovan | Dentist | 322 S. Dental Science Bldg, Iowa City, IA 52242-1001 | 2008-05-23 |
| 1992992291 | John Delbert Tingey | Dentist | 1800 Calvin Ct Apt 3, Iowa City, IA 52246-3102 | 2007-10-01 |
| 1740485598 | Keelen Tymkiw | Dentist | University of Iowa, College of Dentistry, Periodontics, S450 Dsb, Iowa City, IA 52242 | 2007-06-20 |
| 1376755520 | Michael Ryan Franzman | Dentist | 1800 E. 54th St., Suite A, Davenport, IA 52807 | 2007-05-03 |
| Find all providers with the same taxonomy | ||||
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| 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.