Graham, Dennis William

Graham, Dennis William is an individual health care provider with primary practice located at 3606 Main St Suite 201, Vancouver WA 98663-2257. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Graham, Dennis William can be contacted via phone (360) 696-1686.

Contact Information

Primary practice address
3606 Main St Suite 201 Vancouver WA 98663-2257
Phone: (360) 696-1686
Fax: (360) 696-1688
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 5255 Washington
Dental Providers / General Practice 1223G0001X 5553 Kansas

Profile Details

NPI number 1215937792
LBN Legal business name Graham, Dennis William
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2005
Last updated Jul 8th, 2007 - about 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215937792 NPPES
Washington MEDICAID 5557400

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