Graham, Rontae Marvell Edward

Graham, Rontae Marvell Edward is an individual health care provider with primary practice located at 3801 S Olive St , Pine Bluff AR 71603. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Graham, Rontae Marvell Edward can be contacted via phone (870) 536-6917.

Contact Information

Primary practice address
3801 S Olive St Pine Bluff AR 71603
Fax: (870) 536-4404
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 4677 Arkansas

Profile Details

NPI number 1700570140
LBN Legal business name Graham, Rontae Marvell Edward
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2023
Last updated Jun 7th, 2023 - about 3 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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