Darryl Stephen Graden in Merrillville - General Practice
Darryl Stephen Graden - NPI 1285626267
Darryl Stephen Graden is a General Practice in Merrillville, Indiana. Darryl Stephen Graden practices all healthcare services and medical treatments related to General Practice. The NPI Number for Darryl Stephen Graden is 1285626267. The last update date is 2007-07-08.
Darryl Stephen Graden's current location address is 7895 Broadway, Merrillville, Indiana. You can contact this provider via phone number 2197697151 and fax number 2197697156. The mailing address for Darryl Stephen Graden is 7895 Broadway, Merrillville, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Darryl Stephen Graden |
|---|---|
| Address | 7895 Broadway, Merrillville, Indiana |
| Phone Number | 2197697151 |
| Fax Number | 2197697156 |
| Sole Proprietor | X |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1285626267 |
|---|---|
| Provider Enumeration Date | 2005-08-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 7895 Broadway |
|---|---|
| City | Merrillville |
| State | Indiana (IN) |
| Post Code | 464105529 |
| Phone Number | 2197697151 |
| Fax Number | 2197697156 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 12007152 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique 10-digit identification code assigned to Darryl Stephen Graden by the Centers for Medicare & Medicaid Services?
The Darryl Stephen Graden has been issued the NPI (National Provider Identifier) 1285626267, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Darryl Stephen Graden located?
The Darryl Stephen Graden is located at 7895 Broadway, Merrillville, IN 464105529.
What is Darryl Stephen Graden's specialized field of practice, and what is the corresponding taxonomy classification code?
The Darryl Stephen Graden's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services assign the 1285626267 to Darryl Stephen Graden?
The Centers for Medicare & Medicaid Services assigned the 1285626267 to Darryl Stephen Graden on 2005-08-17.
When was the Darryl Stephen Graden's information last updated?
The Darryl Stephen Graden's information was last updated on 2007-07-08.
NPI Number: 1952305922
Address: 1111 Professional Blvd, Dalton, GA