Graden, Terrill A
Graden, Terrill A is an individual health care provider with primary practice located at 2552 F Rd , Grand Junction CO 81505-1422. He recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as his primary health care specialty. Graden, Terrill A can be contacted via phone (970) 241-1313.Contact Information
Primary practice address
2552 F Rd
Grand Junction CO 81505-1422
Phone: (970) 241-1313
Fax: (970) 241-5202
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 906296 | Colorado |
Profile Details
| NPI number | 1104109719 |
|---|---|
| LBN Legal business name | Graden, Terrill A |
| Credentials | Registered Dental Hygienist (RDH) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2011 |
| Last updated | Sep 21st, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104109719 | NPPES |
| Colorado | MEDICAID | 14803852 |
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