Josh Graham

Periodontics · Neptune Beach, FL

Individual Active NPI

NPI number 1861194706

Practice location

630 Atlantic Blvd Ste 7
Neptune Beach, FL 32266-4001

Phone: (407) 401-4117

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NPI record

NPI: 1861194706
Entity type: Individual (Type 1)
Enumeration date: March 21, 2023
Last updated: May 13, 2026
Certified: May 13, 2026
Sole proprietor: Yes

Specialties & taxonomy codes

Taxonomy	Code	License	State
Periodontics Primary	`1223P0300X`	28387	FL
Student in an Organized Health Care Education/Training Program	`390200000X`	2901601892	MI

Mailing address

1001 Temple GRV
Winter Park, FL 32789-2788

Phone: (407) 401-4117

Other practice locations (1)

2700 Martin Luther King Jr Blvd, Detroit, MI 48208-2576 · (407) 401-4117

About Josh Graham

Josh Graham is a healthcare provider registered in the NPI registry with the primary taxonomy Periodontics (code 1223P0300X). The practice location is 630 Atlantic Blvd Ste 7, Neptune Beach, FL 32266-4001. The NPI number 1861194706 was assigned on March 21, 2023 and the record was last updated on May 13, 2026.

Josh Graham lists 2 licenses in the registry: #28387 (FL) for Periodontics; #2901601892 (MI) for Student in an Organized Health Care Education/Training Program. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Josh Graham?

The NPI number is 1861194706.

What is the phone number of Josh Graham?

The phone number listed for the practice location is (407) 401-4117.

Where is Josh Graham located?

630 Atlantic Blvd Ste 7, Neptune Beach, FL 32266-4001.

What is the taxonomy code for Josh Graham?

The primary taxonomy code is 1223P0300X – Periodontics; 1 more listed above.

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.