Rontae Marvell Edward Graham, DDS

General Practice Dentistry · Pine Bluff, AR

Individual Active NPI

NPI number 1700570140

Practice location

3801 S Olive St
Pine Bluff, AR 71603
Phone
(870) 536-6917
Fax
(870) 536-4404

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NPI record

NPI
1700570140
Entity type
Individual (Type 1)
Enumeration date
June 7, 2023
Last updated
June 7, 2023
Certified
June 7, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 4677 AR

About Dr. Graham

Rontae Marvell Edward Graham, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 3801 S Olive St, Pine Bluff, AR 71603. The NPI number 1700570140 was assigned on June 7, 2023 and the record was last updated on June 7, 2023.

Dr. Graham lists a license in the registry: #4677 (AR) 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 Rontae Marvell Edward Graham, DDS?

The NPI number is 1700570140.

What is the phone number of Dr. Graham?

The phone number listed for the practice location is (870) 536-6917.

Where is Dr. Graham located?

3801 S Olive St, Pine Bluff, AR 71603.

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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