DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: CLIFFORD GRADY DOVER

MEDICARE: CLIFFORD GRADY DOVER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1336007822
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLIFFORD GRADY DOVER
Provider Business Mailing Address
First Line : 3411 OFFICE PARK DR STE 200
Second Line :
City : KETTERING
State : OH
Zip : 45439-2295
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3411 OFFICE PARK DR STE 200
Second Line :
City : KETTERING
State : OH
Zip : 45439-2295
Country : US
Telephone Number : 937-802-5440
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2026
Last Update Date : 01/13/2026

Similar Medicare Providers

1295568897 — LCFCS GLOBAL TRANSPORTATION, LLC
Practice Location Address:
3411 OFFICE PARK DR STE 200
KETTERING, OH
45439-2295
Practice Phone: 910-638-3923
Practice Fax:
1891671343 — DELORA HUGHES
Practice Location Address:
3411 OFFICE PARK DR STE 200
KETTERING, OH
45439-2295
Practice Phone: 937-802-5440
Practice Fax:
1487535514 — STEPHANIE CHRISTINE PEARSON
Practice Location Address:
3411 OFFICE PARK DR STE 200
KETTERING, OH
45439-2295
Practice Phone: 937-802-5440
Practice Fax:
1932072352 — AMY MARIE FORNSHELL
Practice Location Address:
3411 OFFICE PARK DR STE 200
KETTERING, OH
45439-2295
Practice Phone: 937-802-5440
Practice Fax:
1558238840 — LABRENDA JEAN CAFFEY
Practice Location Address:
3411 OFFICE PARK DR STE 200
KETTERING, OH
45439-2295
Practice Phone: 937-802-5440
Practice Fax:
1972470276 — MONIQUE MILLER
Practice Location Address:
3411 OFFICE PARK DR STE 200
KETTERING, OH
45439-2295
Practice Phone: 937-802-5440
Practice Fax:

Directions to “ CLIFFORD GRADY DOVER ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.