Victoria Ester Graham, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3719-13 Issued in MS

Practice address

401 S Gloster St
Suite 101
Tupelo, MS 38801-5540

Phone

(662) 269-4025

NPI assigned

Jul 22, 2013

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458086400000",
    "number": "1174965982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 NORTHCHASE PKWY SE",
            "address_2": "SUITE 290",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300676405",
            "telephone_number": "678-904-5665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S GLOSTER ST",
            "address_2": "SUITE 101",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388015540",
            "telephone_number": "662-269-4025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "VICTORIA",
        "middle_name": "ESTER",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-22",
        "last_updated": "2016-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "3719-13",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Abounds Home Care
• Gracie PLLC
• Justin C. Graff, M.D.
• Taylor Craven Graham, OTA
• Tracy Graham, O.T.
• Grant Family Medical LLC
• Dana Grant, NP-C
• Abby Gravatt, M.S., CCC-SLP
• Amber Graves
• Joanna Graves

• General Practice Dentistry in Tupelo, MS
• Providers in Tupelo, MS by specialty
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.