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Dr. Stephanie Elaine Graham, DMD
General Practice Dentistry in Sparta, Illinois
NPI 1962623363

Stephanie Elaine Graham is a General Practice Dentistry based in Sparta, IL and is specialized in General Practice. Stephanie Elaine Graham practices in Sparta, IL and has the professional credentials of DMD. The NPI Number for Stephanie Elaine Graham is 1962623363 and holds a License No. (Illinois).

The current practice location address for Stephanie Elaine Graham is 530 E Broadway St, Sparta, IL and can be reached out via phone at 618-443-4721 and via fax at 618-443-4722. You can also correspond with Stephanie Elaine Graham through the mailing address at 530 E BROADWAY ST, SPARTA, IL - 62286-1816 (mailing address contact number: 618-443-4721).

Location: 530 E Broadway St, Sparta, IL, 62286-1816
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962623363
Provider Name
Stephanie Elaine Graham
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
530 E Broadway St, Sparta, IL, 62286-1816
Phone Number
618-443-4721
Fax Number
618-443-4722
Provider Enumeration Date
05/01/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
958147 01 IL UNITED CONCORDIA
institution
Provider Business Practice Location Address Details
Address
530 E Broadway St
City
Sparta
State
Illinois
Zip
62286-1816
Phone Number
618-443-4721
Fax Number
618-443-4722
person
Provider Business Mailing Address Details
Address
530 E Broadway St
City
Sparta
State
Illinois
Zip
62286-1816
Phone Number
618-443-4721
Fax Number
618-443-4722
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
(Illinois)
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.
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