Warren Graham in South Deerfield - Dentist

Warren Graham - NPI 1417071135

Warren Graham is a Dentist in South Deerfield, Massachusetts. Warren Graham practices all healthcare services and medical treatments related to Dentist. The NPI Number for Warren Graham is 1417071135. The last update date is 2007-07-08.

Warren Graham's current location address is 61 Old State Rd, South Deerfield, Massachusetts. You can contact this provider via phone number 4136653460 and fax number 4136652620. The mailing address for Warren Graham is 61 Old State Rd, South Deerfield, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Warren Graham
Address 61 Old State Rd, South Deerfield, Massachusetts
Phone Number 4136653460
Fax Number 4136652620
Sole Proprietor N
Credentials DMD

NPI Number Detail

NPI Number 1417071135
Provider Enumeration Date 2007-03-19
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 61 Old State Rd
City South Deerfield
State Massachusetts (MA)
Post Code 1373
Phone Number 4136653460
Fax Number 4136652620

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 15147
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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FAQs about Warren Graham

What is the unique identifier code issued to Warren Graham by the Centers for Medicare & Medicaid Services?

The Warren Graham has been assigned the NPI (National Provider Identifier) 1417071135. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Warren Graham's facilities are geographically located?

The facilities of Warren Graham are physically situated at the following location: 61 Old State Rd, South Deerfield, MA, 1373.

What is the Warren Graham's specialty and taxonomy code?

The Warren Graham's specialty is Dentist, and the corresponding taxonomy code is 122300000X.

On what date did Warren Graham receive its 1417071135 assignment from the Centers for Medicare & Medicaid Services?

The Warren Graham was assigned its 1417071135 on 2007-03-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Warren Graham most recently updated or revised?

The details related to Warren Graham, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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