Stephen Duane Graham in Chattanooga - General Practice
Stephen Duane Graham - NPI 1225259344
Stephen Duane Graham is a General Practice in Chattanooga, Tennessee. Stephen Duane Graham practices all healthcare services and medical treatments related to General Practice. The NPI Number for Stephen Duane Graham is 1225259344. The last update date is 2007-07-08.
Stephen Duane Graham's current location address is 1602 South Holtzclaw Avenue, Chattanooga, Tennessee. You can contact this provider via phone number 4236985794. The mailing address for Stephen Duane Graham is 1602 South Holtzclaw Avenue, Chattanooga, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen Duane Graham |
|---|---|
| Address | 1602 South Holtzclaw Avenue, Chattanooga, Tennessee |
| Phone Number | 4236985794 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1225259344 |
|---|---|
| Provider Enumeration Date | 2007-05-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1602 South Holtzclaw Avenue |
|---|---|
| City | Chattanooga |
| State | Tennessee (TN) |
| Post Code | 37404 |
| Phone Number | 4236985794 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | D.S. 4218 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 107735 | TN | BLUECROSSBLUESHIELD |
Post Comment/ Review Below
What is the Stephen Duane Graham's unique identification number?
The Stephen Duane Graham has been assigned the NPI (National Provider Identifier) Number 1225259344 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Stephen Duane Graham is physically located?
The Stephen Duane Graham is physically situated at the following address: 1602 South Holtzclaw Avenue, Chattanooga, TN, 37404.
What is Stephen Duane Graham's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Stephen Duane Graham is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1225259344 to Stephen Duane Graham?
The Centers for Medicare & Medicaid Services originally issued the 1225259344 to Stephen Duane Graham on 2007-05-02.
When was the information pertaining to Stephen Duane Graham most recently updated or revised?
The details related to Stephen Duane Graham, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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