Derrick Brandon Graves in Philadelphia - General Practice
Derrick Brandon Graves - NPI 1760554661
Derrick Brandon Graves is a General Practice in Philadelphia, Pennsylvania. Derrick Brandon Graves practices all healthcare services and medical treatments related to General Practice. The NPI Number for Derrick Brandon Graves is 1760554661. The last update date is 2007-07-08.
Derrick Brandon Graves's current location address is 3 West Gowen Avenue, Philadelphia, Pennsylvania. You can contact this provider via phone number 2152420670 and fax number 2152483874. The mailing address for Derrick Brandon Graves is 3 West Gowen Avenue, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Derrick Brandon Graves |
|---|---|
| Address | 3 West Gowen Avenue, Philadelphia, Pennsylvania |
| Phone Number | 2152420670 |
| Fax Number | 2152483874 |
| Sole Proprietor | N |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1760554661 |
|---|---|
| Provider Enumeration Date | 2006-11-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3 West Gowen Avenue |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 19119 |
| Phone Number | 2152420670 |
| Fax Number | 2152483874 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | BG5342958 |
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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 provider identifier assigned to Derrick Brandon Graves?
The Derrick Brandon Graves has been issued the NPI (National Provider Identifier) 1760554661 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Derrick Brandon Graves's facilities are situated?
The facilities of Derrick Brandon Graves are physically located at the following address: 3 West Gowen Avenue, Philadelphia, PA, 19119.
What is Derrick Brandon Graves's area of expertise and its corresponding taxonomy classification?
The Derrick Brandon Graves's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.
On what date did the Derrick Brandon Graves receive its 1760554661 assignment from the Centers for Medicare & Medicaid Services?
The Derrick Brandon Graves was assigned its 1760554661 by the Centers for Medicare & Medicaid Services on 2006-11-15.
As of what date were the details pertaining to Derrick Brandon Graves last refreshed?
The information related to the Derrick Brandon Graves, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
NPI Number: 1942206313
Address: 1250 N Wenatchee Ave Suite H Pmb 352, Wenatchee, WA