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 |
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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 |
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Provider Enumeration Date | 2007-03-19 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 61 Old State Rd |
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City | South Deerfield |
State | Massachusetts (MA) |
Post Code | 1373 |
Phone Number | 4136653460 |
Fax Number | 4136652620 |
Provider's Primary Taxonomy Detail
Speciality | Dentist |
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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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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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