James G. Graves, D.M.D., P.L.L.C.
Organization Active NPI General Practice Dentistry · Senatobia, MS
NPI 1013210673 · NPPES record last updated Dec 20, 2010
Key facts
- NPI
- 1013210673
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 2275-86 (MS)
- Legal business name
- JAMES G. GRAVES, D.M.D., P.L.L.C.
- Practice address
- 522 W Main St
Senatobia, MS 38668-2657 - Phone
- (662) 562-9484
- Fax
- (662) 301-8222
- NPI assigned
- Dec 20, 2010
- Organization subpart
- No
Authorized official
- Name
- Dr. James Gregory Graves, D.M.D.
- Title
- Owner
- Phone
- (662) 562-9484
Practitioners 1
-
James Gregory Graves, D.M.D.
National Provider Directory
Locations
522 W Main St
Senatobia, MS 38668
Phone (662) 562-9484
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 2275-86 | MS | Yes |
Addresses
Primary practice location
522 W Main St
Senatobia, MS 38668-2657
Mailing address
522 W Main St
Senatobia, MS 38668-2657
Phone (662) 562-9484
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00060223 | Medicaid | MS |
Other providers in Senatobia, MS
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- IV at Home Inc.
- J. Larry Black MD PHD PLLC
- Beau Jenkins
- Brant Hume Kairit
- Kamlesh Parekh
- Bailey Rae Kargo
- Hana Kayali
All providers in Senatobia, MS · General Practice Dentistry in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 20, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.