DR. JOHN CARL GRAF III (NPI# 1154583987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154583987 |
| Entity Type | Individual |
| Full Name | DR. JOHN CARL GRAF III |
| Other Name | DR. TREY GRAF |
| Credential | D.M.D. |
| Practice Address |
307 Gabriel St Advance MO 63730-0039 |
| Practice Telephone | 5737223044 |
| Mailing Telephone | 5737223044 |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2012-06-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2011018803 | MO | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
8610 | KY | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669461406 | John D Graf | Dentist | 2910 E Battlefield St, Springfield, MO 65804-4016 | 2005-10-14 |
| Street Address |
307 GABRIEL ST |
| City | ADVANCE |
| State | MO |
| Zip Code | 63730-0039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265734941 | Beverly Jaye Dillow | Dental Hygienist | 307 Gabriel St, Advance, MO 63730-0039 | 2010-12-01 |
| 1841508264 | Cross Trails Medical Center | Dentist | 307 Gabriel St, Advance, MO 63730 | 2010-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689292302 | Kimberly Backfisch | Counselor | 105b N Oak St, Advance, MO 63730 | 2020-07-09 |
| 1306272653 | Phelps In-home Care, LLC | In Home Supportive Care | 201 W. Sturdivant St., Advance, MO 63730 | 2013-09-18 |
| 1265691869 | Advance Medical Clinic | Clinic/Center | 103 South Oak Street, Advance, MO 63730 | 2008-06-09 |
| 1063620565 | Jerrilyn D Adkisson | Point of Service | 24777 State Hwy 25, Advance, MO 63730 | 2007-05-18 |
| 1063553402 | Advance R-iv Public Schools | Local Education Agency (LEA) | 19805 State Hwy C, Advance, MO 63730 | 2007-02-09 |
| 1154476919 | Cindy Beussink | Speech-Language Pathologist | 19134 County Rd 208, Advance, MO 63730 | 2007-01-24 |
| 1225191752 | Cross Trails Medical Center | Clinic/Center | 307 Gabriel St., Advance, MO 63730 | 2006-12-18 |
| 1346356177 | Haven Health Cares | Clinic/Center | 502 West Sturdivant Street, Advance, MO 63730 | 2006-08-22 |
| 1326242645 | Mary Diane Reeves | Speech-Language Pathologist | 19805 State Hwy C, Box 370, Advance, MO 63730 | 2007-06-12 |
| 1952582223 | Miranda D Sauceda | Clinic/Center | 502 West Sturdivant, Advance, MO 63730-0137 | 2007-11-15 |
| Find all providers in zip 63730 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437373883 | Adam T. Dorsett | Dentist | 127 Royal Troon Ln, Advance, NC 27006 | 2007-04-13 |
| 1912121393 | Adam T. Dorsett, Dds, and Jason T. Moore, Dds, Pa | Dentist | 127 Royal Troon Lane, Advance, NC 27006-6651 | 2007-04-13 |
| 1861583882 | Todd H Carter | Dentist | 123 Nc Hwy 801 South, C-100, Advance, NC 27006 | 2006-09-27 |
| 1881218006 | Cody Matthew Sabol | Dentist | 127 Royal Troon Ln, Advance, NC 27006-6970 | 2020-06-03 |
| 1083238315 | Courtney Rose | Dentist | 127 Royal Troon Ln, Advance, NC 27006-6970 | 2020-06-02 |
| 1497162895 | Liner, Ward & Shobe Dds, Pa | Dentist | 135 Medical Dr, Advance, NC 27006-6684 | 2014-07-17 |
| 1881006021 | Jeffrey William Duffy | Dentist | 127 Royal Troon Ln, Advance, NC 27006-6970 | 2014-05-22 |
| 1457645046 | Daniel Gregg Moore | Dentist | 127 Royal Troon Lane, Advance, NC 27006-6651 | 2011-06-01 |
| 1841508264 | Cross Trails Medical Center | Dentist | 307 Gabriel St, Advance, MO 63730 | 2010-09-20 |
| 1013058700 | Thomas S. Browder | Dentist | 5380 Us Highway 158, Suite 200, Advance, NC 27006-6907 | 2007-02-08 |
| Find all providers in ADVANCE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.