DR. Michael R Gradeless, D.D.S.

NPI #1316976863 in Fishers, Indiana

Provider Information

NPI Number: 1316976863
Entity Type: Individual
Name: DR. Michael R Gradeless, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Jun 30, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 10100 LANTERN RD
City: Fishers
State: Indiana
ZIP Code: 46037-9651
Phone: (317) 841-3130

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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