GRAHAM FAMILY DENTAL (NPI# 1780207811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780207811 |
| Entity Type | Organization |
| Organization Name | GRAHAM FAMILY DENTAL |
| Practice Address |
325 W Main St Ste G Riverton WY 82501-3448 |
| Practice Telephone | 3078565210 |
| Enumeration Date | 2020-05-23 |
| Last Update Date | 2020-05-23 |
| Authorized Official Name | DR. TYLER A. GRAHAM (DENTIST) |
| Authorized Official Telephone | 3078565210 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
325 W MAIN ST STE G |
| City | RIVERTON |
| State | WY |
| Zip Code | 82501-3448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366632994 | Guy Salisbury Menefee | Dentist | 325 W Main St Ste G, Riverton, WY 82501-3448 | 2007-07-30 |
| 1053934182 | Tyler A. Graham | Dentist | 325 W Main St Ste G, Riverton, WY 82501-3448 | 2020-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366914889 | Community Health Center of Central Wyoming Inc | Clinic/Center | 704 Fremont Ave, Riverton, WY 82501 | 2018-12-21 |
| 1699292391 | Wind River Cares Riverton | Clinic/Center | 511 North 12 Street East, Riverton, WY 82501 | 2017-08-24 |
| 1801242268 | Jessika Ruth Waldron | Case Manager/Care Coordinator | 1519 1/2 E Pershing, Riverton, WY 82501 | 2016-05-04 |
| 1467815498 | Orren P Janis Sr. | Community Health Worker | 10369 Highway 789, 10369 Hwy 789, Riverton, WY 82501 | 2016-03-29 |
| 1194186320 | Amanda R Vroman | Counselor | 10269 Hwy 789, Riverton, WY 82501 | 2016-03-16 |
| 1770944902 | William Nolan Sage | Counselor | 10269 Hwy. 789, Riverton, WY 82501 | 2016-03-16 |
| 1962806331 | Moss Dentistry | Dentist | 203 E Main Street, Suite 205, Riverton, WY 82501 | 2014-10-14 |
| 1215339957 | Jordan Hays | Registered Nurse | 11855 Us Highway 26, Riverton, WY 82501 | 2014-09-25 |
| 1538584750 | Michaela R Sisneros | Nursing Care | 2890 Cooper Rd, Riverton, WY 82501 | 2014-02-25 |
| 1487089843 | Olivia P Washington | Registered Nurse | 43 Goes In Lodge Road, Riverton, WY 82501 | 2013-09-04 |
| Find all providers in zip 82501 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740829993 | V and S Dental LLC | Clinic/Center | 3816 W 13400 S Ste 200, Riverton, UT 84065-7888 | 2020-01-04 |
| 1821516063 | River Crossing Dental Professional Corporation | Clinic/Center | 12427 South 4000 West, Suite #200, Riverton, UT 84095 | 2017-09-08 |
| 1851768063 | Val Hebert Rdh Inc | Clinic/Center | 3816 W 13400 S, Riverton, UT 84065-6642 | 2015-08-24 |
| 1215351739 | Aadentalcare | Clinic/Center | 1345 W 12600 S, Riverton, UT 84065-7297 | 2014-02-05 |
| 1144519265 | Eric E. Martin, Dds, PC | Clinic/Center | 12391 S 4000 W Ste 204, Riverton, UT 84096-7015 | 2011-03-29 |
| 1073177648 | Ihc Health Services Inc | Clinic/Center | 3723 W 12600 S Ste 430, Riverton, UT 84065-7310 | 2019-04-29 |
| 1114371804 | South Hills Pediatric Dentistry | Clinic/Center | 4013 W 13400 S, Riverton, UT 84096-6410 | 2016-04-19 |
| 1477849289 | Colton J Crane Dmd PC | Clinic/Center | 831 W Sunset Dr, Riverton, WY 82501-2353 | 2011-06-21 |
| 1376762435 | Alan C Baugh Dmd, PC | Clinic/Center | 4019 W 12600 S, Ste 210, Riverton, UT 84065 | 2007-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619503349 | Alpine Denitstry | Clinic/Center | 945 W Broadway Ave Apt 201, Jackson, WY 83001-8217 | 2020-03-13 |
| 1497394068 | Star Valley Dental 1 LLC | Clinic/Center | 725 N Washington St, Afton, WY 83110-1390 | 2019-12-31 |
| 1467090571 | Scott Dental LLC | Clinic/Center | 1212 S. River Street, Saratoga, WY 82331 | 2019-12-19 |
| 1508322603 | Blacks Fork Dental, PC | Clinic/Center | 650 Parkway Dr, Mt View, WY 82939 | 2019-02-13 |
| 1033699533 | Oak Haven Dental | Clinic/Center | 8125 State Highway 789, Lander, WY 82520-2926 | 2018-08-15 |
| 1801337902 | Dental Arts PC | Clinic/Center | 3421 E Garfield St, Laramie, WY 82070-5163 | 2017-03-09 |
| 1669916334 | Braces U Wyoming PC | Clinic/Center | 6900 Yellowtail Rd Ste 100, Cheyenne, WY 82009-6102 | 2016-12-14 |
| 1972863207 | Bingham Endodontics, Pllc | Clinic/Center | 610 W. Broadway Ave, Jackson, WY 83001 | 2012-05-21 |
| 1003069865 | Wyoming Cosmetic and Family Dental | Clinic/Center | 4620 Grandview Ave, Cheyenne, WY 82009-4963 | 2008-10-24 |
| 1467561167 | Bozeman Trail Orthodontics PC | Clinic/Center | 932 South David St, Casper, WY 82601 | 2006-08-29 |
| Find all providers with the same taxonomy | ||||
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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.