Randall K Graham in Tulsa - General Practice

Randall K Graham - NPI 1518950088

Randall K Graham is a General Practice in Tulsa, Oklahoma. Randall K Graham practices all healthcare services and medical treatments related to General Practice. The NPI Number for Randall K Graham is 1518950088. The last update date is 2007-07-09.

Randall K Graham's current location address is 9006 E 62nd St, Tulsa, Oklahoma. You can contact this provider via phone number 9182490249 and fax number 9182491055. The mailing address for Randall K Graham is 9006 E 62nd St, Tulsa, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Name Randall K Graham
Address 9006 E 62nd St, Tulsa, Oklahoma
Phone Number 9182490249
Fax Number 9182491055
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1518950088
Provider Enumeration Date 2005-08-30
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 9006 E 62nd St
City Tulsa
State Oklahoma (OK)
Post Code 741336371
Phone Number 9182490249
Fax Number 9182491055

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 3842
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
731275745001 OK BCBS

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FAQs about Randall K Graham

What is the Randall K Graham's unique identification number?

The Randall K Graham has been assigned the NPI (National Provider Identifier) Number 1518950088 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Where is the Randall K Graham located?

The Randall K Graham is located at 9006 E 62Nd St, Tulsa, OK 741336371.

What is the Randall K Graham's area of specialization and corresponding taxonomy classification?

The Randall K Graham's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.

On what date did the Randall K Graham receive the assignment of its 1518950088 from the Centers for Medicare & Medicaid Services?

The Randall K Graham was issued its 1518950088 by the Centers for Medicare & Medicaid Services on 2005-08-30.

As of what date were the details related to Randall K Graham most recently updated or revised?

The information pertaining to Randall K Graham, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-09.

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