DEBBIE LEE GRAHAM (NPI# 1578612602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578612602 |
Entity Type | Individual |
Full Name | DEBBIE LEE GRAHAM |
Credential | DDS |
Practice Address |
620 E 2100 S Salt Lake City UT 84106-1828 |
Practice Telephone | 8014666645 |
Practice Fax Number | 8014666649 |
Mailing Telephone | 8014666645 |
Mailing Fax Number | 8014666649 |
Enumeration Date | 2007-01-09 |
Last Update Date | 2011-09-28 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
7906602 | UT | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164455457 | Debbie Graham | Counselor | 521 Old Hodgenville Rd, Greensburg, KY 42743-9493 | 2006-07-09 |
Street Address |
620 E 2100 S |
City | SALT LAKE CITY |
State | UT |
Zip Code | 84106-1828 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831696582 | Sugarhouse Dental Inc | Durable Medical Equipment & Medical Supplies | 620 E 2100 S, Salt Lake City, UT 84106 | 2018-04-10 |
1598978058 | Kirkland Graham | Dentist | 620 E 2100 S, Salt Lake City, UT 84106-1828 | 2007-05-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801400015 | Tyra Mae Vance | Counselor | 3375 S 880 E, Salt Lake City, UT 84106 | 2020-09-04 |
1316596554 | Adam Davies | Pharmacist | 1280 E Stringham Ave., Salt Lake City, UT 84106 | 2019-09-10 |
1558919142 | University of Utah | Pharmacy | 1280 E. Stringham Ave, Suite 101, Salt Lake City, UT 84106 | 2019-08-28 |
1588174064 | Aaron Potts | Naturopath | 1945 1100 E, #100, Salt Lake City, UT 84106 | 2017-10-10 |
1801335005 | Gretchen Dennison | Nurse Practitioner | 2138 S Highland Dr, Salt Lake City, UT 84106 | 2017-02-21 |
1376095794 | Jeannette Daneals | Naturopath | 1945 South 1100 East, Suite 100, Salt Lake City, UT 84106 | 2016-11-02 |
1073908703 | Tracey Steinmetz | Massage Therapist | 3300 South 970 East, Suite 7, Salt Lake City, UT 84106 | 2015-03-31 |
1275949091 | Amy Deforest Edwards | Counselor | Jewish Family Service, 1111 E Brickyard Rd, Suite 218, Slc, UT 84106 | 2014-07-02 |
1194138636 | Hillary Lowe Taggart | Nurse Practitioner | 3369 S Highland Dr, Salt Lake City, UT 84106 | 2014-06-03 |
1487086617 | Herald R. Clark, Dds | Dentist | 3643 S. Highland Drive, Salt Lake City, UT 84106 | 2013-07-30 |
Find all providers in zip 84106 |
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 |
---|---|---|---|---|
1518478742 | Lcr Dental Sugar House | Dentist | 2068 S 2100 E Suite #a, Salt Lake City, UT 84108 | 2017-10-16 |
1316465255 | Creek Capital Cottonwood LLC | Dentist | 7050 S Highland Dr Ste 110, Salt Lake City, UT 84121-3764 | 2017-08-30 |
1558777151 | Jami Ballantine | Dentist | 55 N Redwood Rd, Salt Lake City, UT 84116-3121 | 2014-07-03 |
1831338623 | Rose Park Pediatric Dentistry, PC | Dentist | 55 N Redwood Rd Ste B, Salt Lake City, UT 84116-3174 | 2009-02-18 |
1346366283 | Hans Christian Reinemer | Dentist | 1963 E 5600 S, Salt Lake City, UT 84121-1351 | 2007-03-22 |
1720149453 | Jeffery K. Rupp | Dentist | 1548 E 4500 S, Suite 102, Salt Lake City, UT 84117-4209 | 2006-12-13 |
1982670568 | Val Joseph Cheever | Dentist | 1955 S 1300 E, Salt Lake City, UT 84105-3638 | 2006-02-24 |
1316438310 | Justin Moody | Dentist | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2018-05-24 |
1346761152 | Walker Dean Clark | Dentist | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2017-06-30 |
1972954790 | Audrey Sill | Dentist | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2016-06-22 |
Find all providers in SALT LAKE CITY |
City | SALT LAKE CITY |
Zip Code | 84106 |
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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.