DR. MICHELLE ANTONIA GRAHAM (NPI# 1225289598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225289598 |
| Entity Type | Individual |
| Full Name | DR. MICHELLE ANTONIA GRAHAM |
| Credential | DMD, MPH, DMSC |
| Practice Address |
2804 W Marc Knighton Ct Lecanto FL 34461-6300 |
| Mailing Address |
3700 W Sovereign Path Lecanto FL 34461-8071 |
| Practice Telephone | 3525270068 |
| Practice Fax Number | 3525278858 |
| Mailing Telephone | 3522499258 |
| Mailing Fax Number | 3522499262 |
| Enumeration Date | 2008-10-06 |
| Last Update Date | 2013-01-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DN15164 | FL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | LICENSE NUMBER | DN15164 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952879108 | Michelle Graham | Behavior Technician | 1621 Druid Hill Ave, Baltimore, MD 21217-3414 | 2018-11-06 |
| 1003306283 | Michelle Dasham Graham | Home Health Aide | 17303 Deforest Ave, Cleveland, OH 44128-2517 | 2018-05-14 |
| 1811305469 | Michelle Graham | Licensed Practical Nurse | 427 Se 47th Ter, Gainesville, FL 32641-7811 | 2014-07-28 |
| 1164408258 | Michelle L Graham | Family Medicine | 1781 Countryside Dr, Lancaster, OH 43130-4056 | 2005-12-20 |
| 1669024626 | Michelle Y Graham | Case Manager/Care Coordinator | 3500 Carnegie Ave, Cleveland, OH 44115-2641 | 2019-07-10 |
| 1346805751 | Michelle Kuuipo Kalua Graham | Behavior Technician | 4510 Salt Lake Blvd Ste D8, Honolulu, HI 96818-3172 | 2019-05-01 |
| 1255894994 | Michelle Sloan Graham | Nurse Practitioner | 2941 Point Mallard Pkwy Se Ste N, Decatur, AL 35603-5760 | 2019-04-10 |
| 1538658224 | Michelle Lee Graham | Health Educator | 119 Washington St, Watertown, NY 13601-3323 | 2018-05-08 |
| 1659880987 | Michelle Rene Graham | Counselor | 307 S 12th Ave Ste 4b, Yakima, WA 98902-3137 | 2017-09-29 |
| 1821547456 | Michelle Graham | Occupational Therapist | 700 Columbus Ave, Apt. 17e, New York, NY 10025-6662 | 2016-09-23 |
| Street Address |
2804 W MARC KNIGHTON CT |
| City | LECANTO |
| State | FL |
| Zip Code | 34461-6300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245230044 | Lee Elma Howell Jr. | Family Medicine | 2804 W Marc Knighton Ct, Lecanto, FL 34461-6300 | 2005-07-22 |
| 1679963938 | Louis L. Orr Iv | Psychologist | 2804 W Marc Knighton Ct, Suite A, Lecanto, FL 34461-8334 | 2015-01-26 |
| 1225282924 | Board of County Commissioners Citrus County | Community/Behavioral Health | 2804 W Marc Knighton Ct, Suite B, Lecanto, FL 34461-6300 | 2008-11-07 |
| 1396992558 | Ellen Baxley | Dietitian, Registered | 2804 W Marc Knighton Ct, Lecanto, FL 34461-6300 | 2008-08-19 |
| 1821287954 | Walton L Vanhoose | Dentist | 2804 W Marc Knighton Ct, Lecanto, FL 34461-6300 | 2007-10-15 |
| 1750578019 | Michael Bernard Mueller | Family Medicine | 2804 W Marc Knighton Ct, Lecanto, FL 34461-6300 | 2007-10-01 |
| 1740474568 | Krisha Charlene Fulcher | Psychologist | 2804 W Marc Knighton Ct, Suite A, Lecanto, FL 34461-6300 | 2007-09-05 |
| 1548462393 | Terri Lynette Smith | Family Medicine | 2804 W Marc Knighton Ct, Suite A, Lecanto, FL 34461-6300 | 2007-06-04 |
| 1538211545 | Gainesville Vamc | Clinic/Center | 2804 W Marc Knighton Ct, Suite A, Lecanto, FL 34461-6300 | 2007-01-18 |
| 1083711089 | Mark Joseph Knapp | Internal Medicine | 2804 W Marc Knighton Ct, Lecanto, FL 34461-6300 | 2006-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891261160 | Shekinah Barfield | Physician Assistant | Pediatric and Internal Medicine Specialist Inc, 1990 N Prospect Ave, Lecanto, FL 34461 | 2018-10-15 |
| 1699240887 | Medical Risk Solutions | Family Medicine | 2804 W. Marc Knighton Court Key #10, Lecanto, FL 34461 | 2018-10-04 |
| 1851848097 | Pedim Outreach and Specialty Clinic LLC | Family Medicine | 1982 N Prospect Ave, Lecanto, FL 34461 | 2016-09-06 |
| 1265776579 | Wal-mart Stores East Lp | Technician/Technologist | 1936 N. Lecanto Hwy, Lecanto, FL 34461 | 2012-11-27 |
| 1922306109 | Pediatric and Internal Medicine Specialists, Pa | Clinic/Center | 1980 North Prospect Avenue, Lecanto, FL 34461 | 2011-03-11 |
| 1942459078 | Crq Enterprises LLC | Home Health | 4214 W Gulf To Lake Hwy, Lecanto, FL 34461 | 2008-09-12 |
| 1548418064 | Thomas Tybeck | Counselor | 324 S Kensington Ave Ste 328, Lecanto, FL 34461 | 2008-09-09 |
| 1356533566 | Amanda Nicole Coppedge | Optometrist | 240 N. Lecanto Hwy., Lecanto, FL 34461 | 2007-08-11 |
| 1679779185 | Brashears Vital Care Corp | Pharmacy | 471 N Dacie Pt, Lecanto, FL 34461 | 2007-06-22 |
| 1285751099 | Interim Healthcare Private Services, Inc. | Home Health | 581 E. Gulf To Lake Highway, Village West Plaza, Lecanto, FL 34461 | 2007-03-25 |
| Find all providers in zip 34461 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437582996 | Hari Priya Chebrolu | Dentist | 601 N Lecanto Hwy, Lecanto, FL 34461-7928 | 2013-08-19 |
| 1174608293 | Gary S Padgett | Dentist | 514 N. Lecanto Hwy, Lecanto, FL 34461 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619236 | William Garnett Newton | Dentist | 128 Yelvington Rd., East Palatka, FL 32131 | 2020-11-04 |
| 1003416017 | Phillip Jeffery Kelemen | Dentist | 5913 Plainview Dr, Port Orange, FL 32127-8911 | 2020-10-28 |
| 1215536081 | Kenneth A Mogell Dmd Pa | Dentist | 787 37th St Ste 180, Vero Beach, FL 32960-7305 | 2020-10-22 |
| 1700485729 | Wylan Bernitt | Dentist | 1215 Mercado Dr, Venice, FL 34293 | 2020-10-21 |
| 1477151520 | Beacon Dental LLC | Dentist | 800 Se 4th Ave Ste 720, Hallandale Beach, FL 33009-6496 | 2020-10-12 |
| 1972100451 | South Florida Sleep Solutions LLC | Dentist | 9100 Sw 53rd St, Cooper City, FL 33328-5021 | 2020-10-07 |
| 1346847134 | Kenward & Mayoral Dentistry Partnership | Dentist | 8950 Sw 74th Ct Ste 1212, Miami, FL 33156-3170 | 2020-10-05 |
| 1174139893 | Haitham Nabood | Dentist | 7504 Ne 6th Ct Apt 5, Miami, FL 33138-5184 | 2020-09-17 |
| 1689289613 | Sydney Taylor Brown | Dentist | 4455 Sam Mitchell Dr Unit Dental, Chipley, FL 32428-3501 | 2020-09-15 |
| 1679188957 | Kai Ta Huang | Dentist | 1950 Laurel Manor Dr Ste 160, The Villages, FL 32162-5610 | 2020-09-13 |
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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.