STEPHEN GRAHAM (NPI# 1265652481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265652481 |
| Entity Type | Individual |
| Full Name | STEPHEN GRAHAM |
| Credential | DDS |
| Practice Address |
1996 Dougs Park Road Camp Verde AZ 86322 |
| Mailing Address |
Po Box 767 Camp Verde AZ 86322-0767 |
| Practice Telephone | 9285671832 |
| Practice Fax Number | 9285676500 |
| Mailing Telephone | 9285671832 |
| Mailing Fax Number | 9285676500 |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
D4330 | AZ | Dental Providers |
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DD1995 | NM | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | G2446 | 05 | |
| AZ | 114736 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184135733 | Stephen Graham | Speech-Language Pathologist | 126 Monroe Turnpike Suite #210, Trumbull, CT 06611 | 2017-10-22 |
| 1659612711 | Stephen E Graham | Veterinarian | 17622 Burlington Rd, Union Grove, WI 53182-9413 | 2013-03-13 |
| 1225259344 | Stephen Duane Graham Sr. | Dentist | 1602 South Holtzclaw Avenue, Chattanooga, TN 37404 | 2007-05-02 |
| 1588773238 | Stephen Lee Graham | Dentist | 8762 Long Point, #102, Houston, TX 77055 | 2006-08-29 |
| 1477521169 | Stephen Lee Graham | Chiropractor | 205 Moser Rd, Louisville, KY 40223-3113 | 2006-03-09 |
| 1790778520 | Stephen J. Graham | Ophthalmology | 177 W Cottonwood Ln Ste 6, Casa Grande, AZ 85122-2552 | 2005-08-26 |
| 1154679959 | Stephen Graham | Physical Therapist | 210 Creekside Dr, Dickson, TN 37055-2176 | 2012-08-27 |
| 1023251907 | Stephen J. Graham Jr. | Case Manager/Care Coordinator | 107 Laurel St, Newport, AR 72112 | 2009-04-08 |
| 1467650804 | Stephen M Graham | Urology | 15813 Paul Vega Md Dr, Suite 201-a, Hammond, LA 70403-1426 | 2007-07-06 |
| 1407073471 | Stephen Moran Graham | Counselor | 2120 W 8th St, #330, Los Angeles, CA 90057-4019 | 2007-04-19 |
| Street Address |
1996 DOUGS PARK ROAD |
| City | CAMP VERDE |
| State | AZ |
| Zip Code | 86322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124578356 | Samantha March'e Sam | Dental Hygienist | 1996 Dougs Park Road, Camp Verde, AZ 86322 | 2016-10-12 |
| 1457793416 | Davina Rose Esquibel | Dentist | 1996 Dougs Park Road, Camp Verde, AZ 86322 | 2013-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386244234 | Aileen Green | Specialist/Technologist | Camp Verde Elementary, 200 Camp Lincoln Rd, Camp Verde, AZ 86322 | 2020-10-29 |
| 1295358083 | Michelle Thu Nguyen | Dentist | 1996 Doug's Park Rd., Camp Verde, AZ 86322 | 2020-05-27 |
| 1982140372 | Kelly Michaud Ayotte | Nurse Practitioner | 885 S. Peach Lane, Camp Verde, AZ 86322 | 2017-01-10 |
| 1508225301 | Jennifer Lynn Wolf | Specialist/Technologist | 253 E Stolen Blvd, Camp Verde, AZ 86322 | 2016-02-22 |
| 1700288792 | Ramiro Lambaria IIi | Dentist | 1996 Doug's Park Rd, Camp Verde, AZ 86322 | 2014-09-22 |
| 1457768459 | Tammy Sue Oothoudt | Psychiatric Residential Treatment Facility | 1140 South Little Fox Trail, Camp Verde, AZ 86322 | 2014-07-22 |
| 1669798146 | Camp Verde Family Chiropractic & Wellness Center Inc. | Chiropractor | 564 Main Street Suite #108, Camp Verde, AZ 86322 | 2010-04-09 |
| 1841522869 | Kyle Earl French | Chiropractor | 564 S Main Street, Suite 108, Camp Verde, AZ 86322 | 2010-02-01 |
| 1386871440 | Kadeen Mansor | Physical Therapist | 6345 S Cedar Springs St, Camp Verde, AZ 86322 | 2009-06-16 |
| 1811146574 | Karin M. Hauenstein | Social Worker | 449 Sixth Street, Camp Verde, AZ 86322 | 2008-09-17 |
| Find all providers in zip 86322 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487794798 | On Site Dental, PC | Dentist | 1996 Dougs Park Rd, Camp Verde, AZ 86322 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881206274 | Totally Kids Dental P.C. | Dentist | 602 W Union Hills Dr Ste 9, Phoenix, AZ 85027-6629 | 2020-08-18 |
| 1033750724 | Mesa Valley Dental LLC | Dentist | 1220 S Higley Rd Ste 206, Mesa, AZ 85206-4002 | 2019-10-03 |
| 1942841663 | Mesa Kidtastic Dental LLC | Dentist | 1240 W Southern Ave Ste 112, Mesa, AZ 85202-4882 | 2019-10-03 |
| 1497396170 | Gilbert Kidtastic Dental LLC | Dentist | 3303 E Queen Creek Rd Ste 106, Gilbert, AZ 85297-8532 | 2019-10-03 |
| 1386207785 | Cattron's Dmd, Pllc | Dentist | 4024 E Guadalupe Rd Ste 105, Gilbert, AZ 85234-7672 | 2019-04-21 |
| 1578126470 | Scottsdale Pediatric Dental Associates Inc | Dentist | 9280 E Raintree, Suite 108, Scottsdale, AZ 85260 | 2019-04-16 |
| 1194200980 | Highbury Dental Management, LLC | Dentist | 4425 S Mountain Rd, Suite 109, Mesa, AZ 85212 | 2018-09-27 |
| 1568957199 | Maureen Malingkas | Dentist | 8248 W Deer Valley Rd, Peoria, AZ 85382-2198 | 2018-06-26 |
| 1407344567 | Kids Dental Group Pllc | Dentist | 6239 E Brown Rd Ste 102, Mesa, AZ 85205-4933 | 2018-04-24 |
| 1861989121 | Logan Mariano | Dentist | 4383 E Rosemonte Dr, Phoenix, AZ 85050-3407 | 2018-04-21 |
| Find all providers with the same taxonomy | ||||
| City | CAMP VERDE |
| Zip Code | 86322 |
Please comment or provide details below to improve the information on STEPHEN GRAHAM.
| 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.