Edithann J Graham DMD Ms Inc

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

EDITHANN J GRAHAM DMD MS INC

Practice address

1806 Cable St
San Diego, CA 92107-3103

Phone

(619) 226-4784

Fax

(619) 226-3027

NPI assigned

May 6, 2021

Organization subpart

No

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

Authorized official

Name

Edithann Graham, DMD

Title

Owner

Phone

(619) 226-4784

Specialties & licenses 1

Addresses

Practitioners 2

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

• Megan Smith, DMD

  • General Practice Dentistry
  • San Diego, CA
  • NPI 1134642242
  NPD
• Travis Steinberg, DDS

  • Periodontics
  • San Diego, CA
  • NPI 1376083113
  NPD

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

{
    "created_epoch": "1620259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620259200000",
    "number": "1700460748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 CABLE ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921073103",
            "telephone_number": "619-226-4784",
            "fax_number": "619-226-3027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 CABLE ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921073103",
            "telephone_number": "619-226-4784",
            "fax_number": "619-226-3027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDITHANN J GRAHAM DMD MS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-06",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "EDITHANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-226-4784",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Muhammad Muzzammil Edhi, MD
• Rina S. Edi, MD
• Shanta Edinburgh, RN, PHN
• Zandra Lorraine Edison
• Edithann J Graham DMD Ms Inc
• Margaret Elizabeth Edlebeck
• Brandon Craig Edmond
• Estrellita Delrosar Edmond, I.D.C
• James Antonio Edmond
• Eric William Edmonds, MD

• Oral and Maxillofacial Surgery (Dentist) in San Diego, CA
• Providers in San Diego, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; 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.