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

Grady S Randall, DDS

Individual provider Pediatric Dentistry · NPI 1609188531

Grady S Randall, DDS is a Pediatric Dentistry in Grand Rapids, Michigan. Licensed in Colorado and Michigan. Registered with an NPI since 2010.

Licensed in
CO, MI
In the registry since
2010
Specialties on file
2
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

1179 E Paris Ave SE
Grand Rapids, MI 49546-8371
Phone: (616) 942-9840
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 2901022570 (MI)
Pediatric Dentistry Taxonomy 1223P0221X · Licence DEN.00201849 (CO)

Record details

NPI number1609188531
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJuly 8, 2010
Last updated in NPPESMarch 28, 2019
Mailing address1179 E Paris Ave Se Ste 130, Grand Rapids, MI 49546-3682

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