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DR. JEROME F GRADOVILLE DDS
NPI 1710055736
Dentist - General Practice in Omaha, NE

Active since November 30, 2006
557 N 155TH PLZ, OMAHA, NE 68154(402) 391-5511(402) 391-4954 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jerome F Gradoville Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JEROME F GRADOVILLE DDS (NPI 1710055736) is an individual general practice provider in Omaha, Nebraska, licensed in Nebraska (5586) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1710055736
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JEROME F GRADOVILLECredential: DDS
Location Address557 N 155TH PLZOmaha, NE 68154-3775
Mailing Address557 N 155th PlzOmaha, NE 68154-3775 · (402) 391-5511 · Fax (402) 391-4954
Phone(402) 391-5511
Fax(402) 391-4954
Sole ProprietorYes
Enumeration DateNovember 30, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1710055736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NE · 5586
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
557 N 155TH PLZ, Omaha, NE 68154
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerome Gradoville's NPI number?

The NPI number for Jerome Gradoville is 1710055736. It was assigned to this individual provider in the NPPES registry on November 30, 2006.

Where is Jerome Gradoville located?

Jerome Gradoville practices at 557 N 155th Plz, Omaha, NE 68154. The listed phone number is (402) 391-5511.

What is Jerome Gradoville's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Jerome Gradoville was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.