Stephen Graham in Camp Verde - Pediatric Dentistry
Stephen Graham - NPI 1265652481
Stephen Graham is a Pediatric Dentistry in Camp Verde, Arizona. Stephen Graham practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Stephen Graham is 1265652481. The last update date is 2007-07-09.
Stephen Graham's current location address is Po Box 767, Camp Verde, Arizona. You can contact this provider via phone number 9285671832 and fax number 9285676500. The mailing address for Stephen Graham is Po Box 767, Camp Verde, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen Graham |
|---|---|
| Address | Po Box 767, Camp Verde, Arizona |
| Phone Number | 9285671832 |
| Fax Number | 9285676500 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1265652481 |
|---|---|
| Provider Enumeration Date | 2007-04-27 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | Po Box 767 |
|---|---|
| City | Camp Verde |
| State | Arizona (AZ) |
| Post Code | 863220767 |
| Phone Number | 9285671832 |
| Fax Number | 9285676500 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | DD1995 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 114736 | AZ | -- | |
| G2446 | NM | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Stephen Graham by the Centers for Medicare & Medicaid Services?
The Stephen Graham has been assigned the NPI (National Provider Identifier) 1265652481. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Stephen Graham is geographically located?
The Stephen Graham is physically situated at the following location: Po Box 767, Camp Verde, AZ, 863220767.
What is Stephen Graham's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Stephen Graham's specialized field of practice is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services assign the 1265652481 to Stephen Graham?
The Centers for Medicare & Medicaid Services assigned the 1265652481 to Stephen Graham on 2007-04-27.
As of what date were the details pertaining to Stephen Graham last refreshed?
The information related to the Stephen Graham, including its address, specialty, and other relevant details, was last updated on 2007-07-09.