Graham Family Dental Care, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GRAHAM FAMILY DENTAL CARE, PLLC

Doing business as

Graham Family Dental Care

Practice address

10221 198TH St E
Graham, WA 98338-8038

Phone

(253) 875-2900

Fax

(253) 875-7306

NPI assigned

May 7, 2024

Organization subpart

No

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

Authorized official

Name

Nick Sundiam

Title

Credentialing Manager

Phone

(719) 300-5933

Specialties & licenses 1

Addresses

Other names 1

• Graham Family Dental Care Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John T Chen, DDS

  • General Practice Dentistry
  • Graham, WA
  • NPI 1861608036
  NPD (past)

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

{
    "created_epoch": "1715040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1265280242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10221 198TH ST E",
            "city": "GRAHAM",
            "state": "WA",
            "postal_code": "983388038",
            "telephone_number": "253-875-2900",
            "fax_number": "253-875-7306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10221 198TH ST E",
            "city": "GRAHAM",
            "state": "WA",
            "postal_code": "983388038",
            "telephone_number": "253-875-2900",
            "fax_number": "253-875-7306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAHAM FAMILY DENTAL CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-07",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "SUNDIAM",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "719-300-5933"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Graham Family Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Megan Lachelle Goodfellow
• Shannon Michelle Gorrie, PT, DPT, ETC.
• Travis Edwin Gottschalk, MS, LMHC
• Debbra Gaye Gould, LMT, MMT
• Nichole Gould, CBT
• Graham Medical Clinic
• Elizabeth G Grevey, PSYD, BCBA
• Pavlo Bohdan Gusak, DDS
• Sierra E Guzman
• Gregory John Halford, M.A. LMHC

• General Practice Dentistry in Graham, WA
• Providers in Graham, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.