Graber Family Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

12011289A Issued in IN

Legal business name

GRABER FAMILY DENTISTRY

Practice address

901 S Main St
Princeton, IN 47670-2653

Phone

(812) 386-6150

NPI assigned

Aug 26, 2009

Last updated

Aug 26, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Derek O Graber, DDS

Title

Dentist

Phone

(812) 386-6150

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1251244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251244800000",
    "number": "1477786283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 604",
            "city": "PRINCETON",
            "state": "IN",
            "postal_code": "476700604",
            "telephone_number": "812-386-6150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 S MAIN ST",
            "city": "PRINCETON",
            "state": "IN",
            "postal_code": "476702653",
            "telephone_number": "812-386-6150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRABER FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-26",
        "last_updated": "2009-08-26",
        "status": "A",
        "authorized_official_last_name": "GRABER",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "18123866150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IN",
            "license": "12011289A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberlee Goldbach, FNP-C
• Blaine Gooch, PHARMD
• Good Samaritan Hospital (RiverOaks Health Campus)
• Good Samaritan Hospital Physician Services, Inc (Tbin)
• Good Samaritan Hospital Physician Services, Inc
• Tessa Graper
• Janet Graves, RD
• Great Lakes Emergency Physicians, PLLC
• Richard W Griffin Jr., MD
• Steven H Griffith, MD

• Dental Clinic/Center in Princeton, IN
• Providers in Princeton, IN by specialty
• Dental Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2009; 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.