Caitlin K Graham, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4264 Issued in AR

Practice address

326 N Rosser St
Forrest City, AR 72335-3247

Phone

(870) 633-4591

Fax

(870) 633-8460

NPI assigned

May 24, 2018

Last updated

Jan 27, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Graham Family Dental, PLLC

  • General Practice Dentistry
  • Forrest City, AR
  • NPI 1275129116
  NPD Authorized official
• Cricket Dental PLLC

  • Dental Clinic/Center
  • Helena, AR
  • NPI 1306531587
  NPD (past) Authorized official
• K Michelle Imboden, DDS,PC

  dba Imboden Family Dentistry

  • Dental Clinic/Center
  • Forrest City, AR
  • NPI 1265040877
  NPD

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

{
    "created_epoch": "1527120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1720579873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 N ROSSER ST",
            "city": "FORREST CITY",
            "state": "AR",
            "postal_code": "723353247",
            "telephone_number": "870-633-4591",
            "fax_number": "870-633-8460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 N ROSSER ST",
            "city": "FORREST CITY",
            "state": "AR",
            "postal_code": "723353247",
            "telephone_number": "870-633-4591",
            "fax_number": "870-633-8460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1207 W Beebe Capps Expy",
            "address_purpose": "LOCATION",
            "city": "Searcy",
            "state": "AR",
            "postal_code": "721435179",
            "country_code": "US",
            "telephone_number": "501-305-3900",
            "fax_number": "501-305-3907",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4850 N Washington St",
            "address_purpose": "LOCATION",
            "city": "Forrest City",
            "state": "AR",
            "postal_code": "723357674",
            "country_code": "US",
            "telephone_number": "870-630-1500",
            "fax_number": "870-630-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "CAITLIN",
        "middle_name": "K",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-24",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "4264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS STATE BOARD OF  DENTAL EXAMINERS",
            "identifier": "4264",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angie Gilbreath
• Marsha Goff, RN
• Emily Goodson, COTA
• Martha Gore, O.D.
• Graham Family Dental, PLLC
• Nateja Amera Gray
• Greenleaf Personal Care Services LLC
• Sherry Denise Griffin
• Jessica Ashley Gutman, MD
• H and F Medical Solutions LLC (H and F Medical)

• General Practice Dentistry in Forrest City, AR
• Providers in Forrest City, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.