Brad Austin Graham in Bowling Green - Dentist
Brad Austin Graham - NPI 1255591384
Brad Austin Graham is a Dentist in Bowling Green, Kentucky. Brad Austin Graham practices all healthcare services and medical treatments related to Dentist. The NPI Number for Brad Austin Graham is 1255591384. The last update date is 2008-06-12.
Brad Austin Graham's current location address is 1857 Tucker Way, Bowling Green, Kentucky. You can contact this provider via phone number 2707812952 and fax number 2707970977. The mailing address for Brad Austin Graham is 1857 Tucker Way, Bowling Green, Kentucky. To know further, please read the information below!
Provider Profile Detail
Provider Name | Brad Austin Graham |
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Address | 1857 Tucker Way, Bowling Green, Kentucky |
Phone Number | 2707812952 |
Fax Number | 2707970977 |
Sole Proprietor | N |
Credentials | DMD |
NPI Number Detail
NPI Number | 1255591384 |
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Provider Enumeration Date | 2008-06-12 |
Last Updated Date | 2008-06-12 |
Provider Mailing Address Detail
Address | 1857 Tucker Way |
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City | Bowling Green |
State | Kentucky (KY) |
Post Code | 40104 |
Phone Number | 2707812952 |
Fax Number | 2707970977 |
Provider's Primary Taxonomy Detail
Speciality | Dentist |
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Taxonomy | 122300000X |
Licence No | KY8362 |
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 |
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What is the unique 10-digit identifier code assigned to Brad Austin Graham by the Centers for Medicare & Medicaid Services?
The Brad Austin Graham has been issued the NPI (National Provider Identifier) 1255591384 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Brad Austin Graham?
The Brad Austin Graham is physically situated at 1857 Tucker Way, in the city of Bowling Green, state of KY, with the postal code 40104.
What is Brad Austin Graham's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Brad Austin Graham is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1255591384 to Brad Austin Graham?
The Centers for Medicare & Medicaid Services assigned the 1255591384 to Brad Austin Graham on 2008-06-12.
As of what date were the details related to Brad Austin Graham most recently updated or revised?
The information pertaining to Brad Austin Graham, including its address, specialty, and other relevant details, was last updated or revised on 2008-06-12.
NPI Number: 1841297926
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