Theodore Graham, D.D.S.

Dentist · Okanogan, WA

Individual Active NPI

NPI number 1417372913

Practice location

626 Second Avenue
Okanogan, WA 98840-9679
Phone
(509) 422-5700
Fax
(509) 422-7680

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NPI record

NPI
1417372913
Entity type
Individual (Type 1)
Enumeration date
February 20, 2014
Last updated
February 20, 2014
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X DE60432317 WA

Mailing address

PO Box 1340
Okanogan, WA 98840-1340
Phone
(509) 422-5700
Fax
(509) 422-7680

About Dr. Graham

Theodore Graham, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 626 Second Avenue, Okanogan, WA 98840-9679. The NPI number 1417372913 was assigned on February 20, 2014 and the record was last updated on February 20, 2014.

Dr. Graham lists a license in the registry: #DE60432317 (WA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Theodore Graham, D.D.S.?

The NPI number is 1417372913.

What is the phone number of Dr. Graham?

The phone number listed for the practice location is (509) 422-5700.

Where is Dr. Graham located?

626 Second Avenue, Okanogan, WA 98840-9679.

What is the taxonomy code for Dr. Graham?

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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