IndividualActive
Kent Gragg, D.D.S.
NPI 1639388697 · Periodontics · Ogden, IA
Provider details
- NPI number
- 1639388697
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- License
- 6265 (IA)
Practice location
237 West Mulberry
Ogden, IA 50212-0813
Phone: (515) 275-2250
Fax: (515) 275-2816
Mailing address
422 Olympic Dr
Waterloo, IA 50701-4972
Registry dates
- Enumerated
- 2007-05-22
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.