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Dr. Jarred Augustus Graham, DDS
General Practice Dentistry in Stone Mountain, Georgia
NPI 1447980636

Jarred Augustus Graham is a General Practice Dentistry based in Decatur, GA and is specialized in General Practice. Jarred Augustus Graham practices in Stone Mountain, GA and has the professional credentials of DDS. The NPI Number for Jarred Augustus Graham is 1447980636 and holds a License No. (Georgia).

The current practice location address for Jarred Augustus Graham is 1227 Rockbridge Rd Ste 300, Stone Mountain, GA and can be reached out via phone at 770-799-0349. You can also correspond with Jarred Augustus Graham through the mailing address at 4156 KIMLIE CV, DECATUR, GA - 30035-1031 (mailing address contact number: 404-454-1889).

Location: 1227 Rockbridge Rd Ste 300, Stone Mountain, GA, 30035-1031
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447980636
Provider Name
Jarred Augustus Graham
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1227 Rockbridge Rd Ste 300, Stone Mountain, GA, 30035-1031
Phone Number
770-799-0349
Fax Number
Provider Enumeration Date
06/12/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1227 Rockbridge Rd Ste 300
City
Stone Mountain
State
Georgia
Zip
30087-3065
Phone Number
770-799-0349
Fax Number
person
Provider Business Mailing Address Details
Address
1227 Rockbridge Rd Ste 300
City
Stone Mountain
State
Georgia
Zip
30087-3065
Phone Number
770-799-0349
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DN122868 (Georgia)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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