DR. JEREMY GORDON GRAHAM (NPI# 1356503700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356503700 |
| Entity Type | Individual |
| Full Name | DR. JEREMY GORDON GRAHAM |
| Credential | D.D.S. |
| Practice Address |
78361 Highway 25 Folsom LA 70437-3320 |
| Practice Telephone | 9857969345 |
| Mailing Telephone | 9857969345 |
| Mailing Fax Number | 9857969345 |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2019-01-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
6096 | LA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538643408 | Jeremy A Graham | Counselor | 2801 C Ct, Ashtabula, OH 44004-4577 | 2018-09-18 |
| 1841552924 | Jeremy Jayme Graham | Registered Nurse | 1100 S Eliseo Dr Ste 1, Greenbrae, CA 94904 | 2012-06-13 |
| 1851599211 | Jeremy Robert Graham | Emergency Medicine | 611 Alcorn Dr, Corinth, MS 38834-9321 | 2007-07-06 |
| 1093767303 | Jeremy D Graham | Internal Medicine | 914 W Carlisle Ave, Spokane, WA 99205 | 2006-05-16 |
| Street Address |
78361 HIGHWAY 25 |
| City | FOLSOM |
| State | LA |
| Zip Code | 70437-3320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497964266 | Chad Schiele Vaught | Dentist | 78361 Highway 25, Folsom, LA 70437-3320 | 2007-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578033536 | Lenora Anne Pierce | Counselor | 916 Washington St., Franklinton, LA 70437 | 2018-12-03 |
| 1326550237 | Robert Julian Segura Jr. | Family Medicine | 13242 Finley Rd., Folsom, LA 70437 | 2017-11-01 |
| 1194125740 | Sonja Watson | Counselor | 13242 Greenwood Rd, Folsom, LA 70437 | 2014-09-02 |
| 1861736274 | Folsom Family Pharmacy, Inc. | Pharmacy | 82150 Highway 25, Folsom, LA 70437 | 2012-11-26 |
| 1871809004 | Patrick Henderson Wainright Jr. | Nurse Practitioner | 82525 Hwy 25, St Tammany Physicians Network-folsom, Folsom, LA 70437 | 2010-08-25 |
| 1669630307 | The Natural Touch Sitting Service | Technician | 83370 Hwy 25, Folsom, LA 70437 | 2008-05-29 |
| 1568654820 | Larry B. Mcmillen | Dentist | 82251 Austin St., Folsom, LA 70437 | 2007-08-10 |
| 1679772321 | James M Pittman | Dentist | 12183 Richardson Hill Rd, Folsom, LA 70437 | 2007-07-13 |
| 1124183256 | Folsom Pharmacy, Inc | Pharmacy | 82150 Hwy 25, Folsom, LA 70437 | 2006-12-27 |
| 1669531372 | The Natural Touch Sitting Service, Inc. | Day Training, Developmentally Disabled Services | 83370 Highway 25, Folsom, LA 70437 | 2006-12-08 |
| Find all providers in zip 70437 | ||||
| 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 |
|---|---|---|---|---|
| 1316555253 | Mantena Dental Corportation | Dentist | 25005 Blue Ravine Rd Ste 100, Folsom, CA 95630-5706 | 2020-07-16 |
| 1598234098 | S. Jang Dds Incorporated | Dentist | 825 E Bidwell St Ste 400d, Folsom, CA 95630-4207 | 2018-11-14 |
| 1326524596 | Jeffrey Anderson | Dentist | 2304 E Bidwell St # 100, Folsom, CA 95630-3455 | 2018-07-11 |
| 1568918233 | Robert Le | Dentist | 102 Black Powder Cir, Folsom, CA 95630-3420 | 2016-08-31 |
| 1184091571 | Ifeatu Nnebe | Dentist | 965 Palmer Cir, Folsom, CA 95630-9548 | 2015-09-01 |
| 1073997409 | Heather Beaty | Dentist | 219 Apex Loop Apt 101, Folsom, CA 95630-7051 | 2015-07-15 |
| 1194134692 | Pawar Dental Corporation | Dentist | 1568 Creekside Dr Ste 202, Folsom, CA 95630-3449 | 2014-08-08 |
| 1962758284 | Sirisha Krishnamurthy | Dentist | 2180 E Bidwell St Ste 100, Folsom, CA 95630-6468 | 2012-07-24 |
| 1174816425 | Susan Margaret Abeldt | Dentist | 102 French Gulch Ct, Folsom, CA 95630-7104 | 2011-05-19 |
| 1821304833 | Ilya Verpukhovsky | Dentist | 1617 Parkway Dr, Folsom, CA 95630-7310 | 2010-08-27 |
| Find all providers in FOLSOM | ||||
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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.