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GRAHAM FAMILY DENTISTRY PC NPI 1073780490


NPI Information

NPI: 1073780490
Provider Name: GRAHAM FAMILY DENTISTRY, PC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
9350 UNIVERSITY AVE
SUITE 128
WEST DES MOINES, IA
ZIP 50266
Phone: (515) 987-0680
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GRAHAM FAMILY DENTISTRY, PC is a general practice dentist in West Des Moines, IA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. GRAHAM FAMILY DENTISTRY, PC NPI is 1073780490. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9350 UNIVERSITY AVE
SUITE 128
WEST DES MOINES, IA
ZIP 50266-646
Phone: (515) 987-0680
Fax: (515) 987-0256

The provider's authorized official is Zachary Graham .
The authorized official title is Dentist/president and has the following contact phone number (515) 987-0680.

The enumeration date for this NPI number is 5/14/2008 and was last updated on 5/14/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice08507IOWAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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