Loretta Prosser Graham, DDS, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

LORETTA PROSSER GRAHAM, DDS, PC

Practice address

15410 Warwick Blvd
Newport News, VA 23608-1576

Phone

(757) 886-9169

Fax

(757) 874-8892

NPI assigned

Oct 6, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Loretta P Graham, DDSNPI 1548289283

Title

Owner/Ceo

Phone

(727) 886-9169

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Loretta Prosser Graham, D.D.S.

  • General Practice Dentistry
  • Newport News, VA
  • NPI 1548289283
  NPD (past) Authorized official
• Gloria Johnson Spruiell, DMD

  • General Practice Dentistry
  • Newport News, VA
  • NPI 1215024997
  NPD (past)

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295822989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15410 WARWICK BLVD",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236081576",
            "telephone_number": "757-886-9169",
            "fax_number": "757-874-8892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15410 WARWICK BLVD",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236081576",
            "telephone_number": "757-886-9169",
            "fax_number": "757-874-8892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORETTA PROSSER GRAHAM, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "LORETTA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "727-886-9169",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Looseleaf Clinical Consulting
• Elease Nichelle Loranger
• Christine Lord, MOT, OTR/L
• Megan Sydni Marie Lord, CNM
• David L Lorenzo, MD
• Lotus Holistic Health, LLC
• Brooke Joan Louder, CMT CMCP
• Love Handles
• Love the Tree of Life Clinic
• Deshae Nichole Love

• General Practice Dentistry in Newport News, VA
• Providers in Newport News, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.