Bailey Hudson Graham IV, DDS

General Practice Dentistry · Petaluma, CA

Individual Active NPI

NPI number 1396912242

Practice location

1126 B St
Petaluma, CA 94952-4055
Phone
(707) 762-7183
Fax
(707) 762-4490

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NPI record

NPI
1396912242
Entity type
Individual (Type 1)
Enumeration date
May 9, 2008
Last updated
May 9, 2008
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 53792 CA

About Dr. Graham

Bailey Hudson Graham IV, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1126 B St, Petaluma, CA 94952-4055. The NPI number 1396912242 was assigned on May 9, 2008 and the record was last updated on May 9, 2008.

Dr. Graham lists a license in the registry: #53792 (CA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Bailey Hudson Graham IV, DDS?

The NPI number is 1396912242.

What is the phone number of Dr. Graham?

The phone number listed for the practice location is (707) 762-7183.

Where is Dr. Graham located?

1126 B St, Petaluma, CA 94952-4055.

What is the taxonomy code for Dr. Graham?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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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