Mark Graham, DDS, Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MARK GRAHAM, DDS, INC.

Practice address

907 San Ramon Valley Blvd Ste 104
Danville, CA 94526-4036

Phone

(925) 820-3000

Fax

(866) 763-0419

NPI assigned

Jun 28, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Mark Graham, DDSNPI 1023115896

Title

Dentist

Phone

(925) 820-3000

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Mark Alan Graham, DDS

  • Dentist
  • Danville, CA
  • NPI 1023115896
  NPD Authorized official
• David A Graham, DDS

  • General Practice Dentistry
  • Danville, CA
  • NPI 1861502957
  NPD (past)

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

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735430400000",
    "number": "1306578497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 SAN RAMON VALLEY BLVD",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945264144",
            "telephone_number": "925-820-3000",
            "fax_number": "866-763-0419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 SAN RAMON VALLEY BLVD STE 104",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945264036",
            "telephone_number": "925-820-3000",
            "fax_number": "866-763-0419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK GRAHAM, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-28",
        "last_updated": "2024-12-29",
        "certification_date": "2024-12-29",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "925-820-3000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "54870",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sirintorn R Mann, PA-C
• Heather Michelle Marchman, M.A., L.M.F.T.
• Karen Marcum
• Margaret Mariella, M.D.
• Marilyn S. Kwolek MD, PC
• Julie Mark, RPH
• Christyn Marshall, DPM
• Kelsey Elise Martin, PA-C
• Jisela Martinez
• Vincent John Martinez, RESPIRATORY THERAPIS

• Dental Clinic/Center in Danville, CA
• Providers in Danville, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.