Ormond Beach Dental Group

Dentist · Ormond Beach, FL

Organization Active NPI

NPI number 1124257175

Practice location

802a Sterthaus Ave
Ormond Beach, FL 32174-5132
Phone
(877) 676-6631

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NPI record

NPI
1124257175
Entity type
Organization (Type 2)
Enumeration date
July 13, 2009
Last updated
November 8, 2013
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X DN16350 FL

Authorized official

Name
Dr. Kerri A Graham, D.M.D.
Title
Owner/ Dentist
Phone
(877) 676-6631

About Ormond Beach Dental Group

Ormond Beach Dental Group is a healthcare organization registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 802a Sterthaus Ave, Ormond Beach, FL 32174-5132. The NPI number 1124257175 was assigned on July 13, 2009 and the record was last updated on November 8, 2013.

Ormond Beach Dental Group lists a license in the registry: #DN16350 (FL) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Kerri A Graham, D.M.D., Owner/ Dentist.

Frequently asked questions

What is the NPI number of Ormond Beach Dental Group?

The NPI number is 1124257175.

What is the phone number of Ormond Beach Dental Group?

The phone number listed for the practice location is (877) 676-6631.

Where is Ormond Beach Dental Group located?

802a Sterthaus Ave, Ormond Beach, FL 32174-5132.

What is the taxonomy code for Ormond Beach Dental Group?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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