Graham A Kellams, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN015699 Issued in GA

Practice address

2655 Dallas Hwy SW Ste 510
Marietta, GA 30064-7520

Phone

(707) 422-8776

NPI assigned

Jul 6, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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": "1530835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593043200000",
    "number": "1346736931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 DALLAS HWY SW STE 510",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300647520",
            "telephone_number": "770-422-8776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 DALLAS HWY SW STE 510",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300647520",
            "telephone_number": "707-422-8776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5131 Washington Rd",
            "address_purpose": "LOCATION",
            "city": "Evans",
            "state": "GA",
            "postal_code": "308096445",
            "country_code": "US",
            "telephone_number": "706-550-1658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLAMS",
        "first_name": "GRAHAM",
        "middle_name": "A",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-06",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN015699",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN015699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eileen Dillon Keeton, D.C.
• Kimberly Dawn Keibler-Gatien, DC
• Richard Paul Keim Jr., DDS
• Brandee Keiss
• Kej Surgical Services LLC
• Michael S. Kelleher, PA-C
• Ann Keller
• Moira Keller, LCSW
• Patricia Kreidler Keller, LPC
• Alexandria Kelley

• General Practice Dentistry in Marietta, GA
• Providers in Marietta, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.