Active NPI
Dennis William Graham, DDS
- General Practice Dentistry
- Vancouver, WA
National Provider Identifier
1215937792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5255
- Practice address
- 3606 Main St
Suite 201
Vancouver, WA 98663-2257 - Phone
- (360) 696-1686
- Fax
- (360) 696-1688
- NPI assigned
- Jul 27, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5255 | WA | Primary |
| General Practice Dentistry | 1223G0001X | 5553 | KS |
Addresses
Primary practice location
3606 Main St
Suite 201
Vancouver, WA 98663-2257
Mailing address
3606 Main St
Suite 201
Vancouver, WA 98663-2257
Phone (360) 696-1686
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5557400 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5553 | KS | MD | General Practice Dentistry |
| 5255 | WA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1215937792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3606 MAIN ST",
"address_2": "SUITE 201",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986632257",
"telephone_number": "360-696-1686",
"fax_number": "360-696-1688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3606 MAIN ST",
"address_2": "SUITE 201",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986632257",
"telephone_number": "360-696-1686",
"fax_number": "360-696-1688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "DENNIS",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-27",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "5255",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "KS",
"license": "5553",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5557400",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.