GRAHAM FAMILY DENTAL NPI 1780207811

NPI Information

NPI: 1780207811
Provider Name: GRAHAM FAMILY DENTAL
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
325 W MAIN ST STE G
RIVERTON, WY
ZIP 82501
Phone: (307) 856-5210
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GRAHAM FAMILY DENTAL is a dental clinic center in Riverton, WY. GRAHAM FAMILY DENTAL NPI is 1780207811. The provider is registered as an organization entity type.

The provider's business location address is:

325 W MAIN ST STE G
RIVERTON, WY
ZIP 82501-448
Phone: (307) 856-5210

The provider's authorized official is Tyler A. Graham .
The authorized official title is Dentist and has the following contact phone number (307) 856-5210.

The enumeration date for this NPI number is 5/23/2020 and was last updated on 5/23/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental			Yes

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

NPI Synchronization or Removal

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