Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Stephen B Grandy, DDS

Individual provider Dentist · NPI 1407261407

Dr. Stephen B Grandy, DDS is a Dentist in Pocatello, Idaho. Licensed in Idaho. Registered with an NPI since 2014.

Licensed in
ID
In the registry since
2014
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

465 Memorial Dr
Pocatello, ID 83209-0000
Phone: (208) 282-3289
Fax: (208) 282-5834
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D-4593 (ID)

Record details

NPI number1407261407
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJune 27, 2014
Last updated in NPPESMarch 7, 2023
Mailing address465 Memorial Dr, Pocatello, ID 83209-0001

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