DR. BAILEY HUDSON GRAHAM IV (NPI# 1396912242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396912242 |
| Entity Type | Individual |
| Full Name | DR. BAILEY HUDSON GRAHAM IV |
| Credential | DDS |
| Practice Address |
1126 B St Petaluma CA 94952-4055 |
| Practice Telephone | 7077627183 |
| Practice Fax Number | 7077624490 |
| Mailing Telephone | 7077627183 |
| Mailing Fax Number | 7077624490 |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2008-05-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
53792 | CA | Dental Providers |
| Street Address |
1126 B ST |
| City | PETALUMA |
| State | CA |
| Zip Code | 94952-4055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114587680 | Benjamin R Idarius | Behavior Technician | 101 H St. Ste. L, Petaluma, CA 94952 | 2019-06-17 |
| 1518457159 | Kyleen Joan Romero | Behavioral Analyst | 25 Graylawn Ave, Petaluma, CA 94952 | 2018-05-17 |
| 1437647526 | John Scruggs | Behavior Technician | 301 H St. Suit L, Petaluma, CA 94952 | 2018-04-25 |
| 1811404684 | Brief and Strategic Counseling Service | Counselor | 843 Chardonnay Cir., Petaluma, CA 94952 | 2018-01-03 |
| 1730638396 | Jennifer Lee Sloan | Acupuncturist | 517 Hayes Lane, Petaluma, CA 94952 | 2016-09-23 |
| 1982057295 | Elene Hwa-yihg Chung | Acupuncturist | 130 Graylawn Ave.,#f, Petaluma, CA 94952 | 2016-07-21 |
| 1457773624 | Lisa Hirsch Cordeiro | Marriage & Family Therapist | 700 Sixth Street, Petaluma, CA 94952 | 2014-01-07 |
| 1811271075 | Jacques Philippe Archer | Massage Therapist | 131b Kentucky St., Petaluma, CA 94952 | 2011-10-06 |
| 1477841609 | Karna Licia Dawson | Social Worker | 205 Keller St., Petaluma, CA 94952 | 2011-07-21 |
| 1497051783 | Melissa Beth Wilson | Acupuncturist | 155a Kentucky Street, Petaluma, CA 94952 | 2011-02-03 |
| Find all providers in zip 94952 | ||||
| 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 |
|---|---|---|---|---|
| 1154724763 | Mona Mahmoodi Dds Inc | Dentist | 245 Kentucky St Ste E, Petaluma, CA 94952-2877 | 2014-09-28 |
| 1205262664 | Nosti and Gill Dental Corporatiom | Dentist | 401 Kenilworth Dr Ste 960, Petaluma, CA 94952-3406 | 2013-09-17 |
| 1093156242 | Reza K. Aryanpour Dds, A Dental Corporation | Dentist | 1436 Professional Dr Ste 302, Petaluma, CA 94954-6697 | 2013-07-16 |
| 1306183991 | Brian Kent Sibbald | Dentist | 255 Fairview Ct, Petaluma, CA 94952-1627 | 2013-01-16 |
| 1104001015 | Suryamanga.d.achyuta,dds,inc | Dentist | 1372 N Mcdowell Blvd, Suite#b-1, Petaluma, CA 94954-1179 | 2008-01-09 |
| 1902008204 | David A Straub | Dentist | 511 Hayes Ln, Petaluma, CA 94952-4011 | 2007-05-31 |
| 1811106370 | Yvonne A Szyperski | Dentist | 1580 East Washington St, #101, Petaluma, CA 94954 | 2007-05-22 |
| 1750406013 | Nadia Navid | Dentist | 216 Howard St, Petaluma, CA 94952-2719 | 2007-03-19 |
| 1578697546 | Yolanda Marye Mangrum | Dentist | 1301 Southpoint Blvd Ste A, Petaluma, CA 94954-6858 | 2007-03-14 |
| 1912045444 | Negar Safapour | Dentist | 515 Hayes Ln, Petaluma, CA 94952-4011 | 2007-02-05 |
| Find all providers in PETALUMA | ||||
Please comment or provide details below to improve the information on DR. BAILEY HUDSON GRAHAM IV.
| 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.