Russell E Graham in Tucson - Dentist

Russell E Graham - NPI 1528160413

Russell E Graham is a Dentist in Tucson, Arizona. Russell E Graham practices all healthcare services and medical treatments related to Dentist. The NPI Number for Russell E Graham is 1528160413. The last update date is 2007-07-08.

Russell E Graham's current location address is 2935 N Country Club Rd, Tucson, Arizona. You can contact this provider via phone number 5203271205 and fax number 5203271294. The mailing address for Russell E Graham is 2935 N Country Club Rd, Tucson, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Russell E Graham
Address 2935 N Country Club Rd, Tucson, Arizona
Phone Number 5203271205
Fax Number 5203271294
Sole Proprietor N
Credentials DMD

NPI Number Detail

NPI Number 1528160413
Provider Enumeration Date 2006-09-02
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2935 N Country Club Rd
City Tucson
State Arizona (AZ)
Post Code 85716
Phone Number 5203271205
Fax Number 5203271294

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 3436
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
649961 UNITED CONCORDIA

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FAQs about Russell E Graham

What is the unique provider identifier assigned to Russell E Graham?

The Russell E Graham has been issued the NPI (National Provider Identifier) 1528160413 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Russell E Graham is physically located?

The Russell E Graham is situated at the following address: 2935 N Country Club Rd, Tucson, AZ 85716.

What is the area of specialization for Russell E Graham, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Russell E Graham is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1528160413 to Russell E Graham?

The Russell E Graham received its 1528160413 assignment from the Centers for Medicare & Medicaid Services on 2006-09-02.

When was the information regarding Russell E Graham most recently updated?

The details pertaining to the Russell E Graham, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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