Active NPIIndividual provider

Dr. Warren Graham, DMD

Dentist in South Deerfield, Massachusetts

NPI Number1417071135
Practice location
61 Old State RD, South Deerfield, MA 01373
Fax
413-665-2620
Last updated
July 8, 2007

Warren Graham is a Dentist based in South Deerfield, MA. Warren Graham practices in South Deerfield, MA and has the professional credentials of DMD. The NPI Number for Warren Graham is 1417071135 and holds a License No. 15147 (MA). The current practice location address for Warren Graham is 61 Old State RD, South Deerfield, MA 01373 and can be reached out via phone at 413-665-3460 and via fax at 413-665-2620.

Provider Profile Details

NPI Number
1417071135
Provider Name
Warren Graham
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
61 Old State RD, South Deerfield, MA 01373
Phone Number
413-665-3460
Fax Number
413-665-2620
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
March 19, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
61 Old State RD
South Deerfield, MA 01373
Zip
01373
Phone Number
413-665-3460
Fax Number
413-665-2620
South Deerfield, MA 01373Get directions →

Provider Business Mailing Address Details

Address
61 Old State RD
South Deerfield, MA 01373
City
South Deerfield
State
MA
Zip
01373
Phone Number
413-665-3460
Fax Number
413-665-2620

License Information

License Number
15147
License State
MA
Taxonomy
Dentist · 122300000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Warren Graham, DMD?

The NPI number of Dr. Warren Graham, DMD is 1417071135. It was assigned on March 19, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Warren Graham, DMD?

Dr. Warren Graham, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number 15147.

Where does Dr. Warren Graham, DMD practice?

The practice location is 61 Old State RD, South Deerfield, MA 01373. The office can be reached at 413-665-3460 (phone) or 413-665-2620 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1417071135 directly on the NPPES registry website.

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