Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. EDITHANN JENNINGS GRAHAM, DMD
ActiveDR. EDITHANN JENNINGS GRAHAM, DMD is a Periodontology healthcare provider located in SAN DIEGO, California. NPI 1063490639 is currently active in the NPPES registry. Verify at CMS.
Periodontology · SAN DIEGO, CA
Registration Details
- NPI Number
- 1063490639
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 4, 2006 (20.426981676421 yrs)
- Last Updated
- Jul 17, 2009
- Licenses
-
5253 (AZ)CA56651 (CA)
Practice Information
- Address
-
1806 CABLE STSAN DIEGO, CA, 921073103Browse CA providers · Browse ZIP 92107
- Phone
- 6192264784
- Fax
- 6192263027
- Primary Specialty
-
Periodontology
1223P0300X
- Additional Specialty
- Periodontology
Other Periodontology Providers in SAN DIEGO, CA
| Name | Credential | NPI |
|---|---|---|
| DR. ERIC DRIVER | DDS | 1497741672 |
| DR. JAMES K LE | D.D.S., M.S. | 1467423582 |
| JAMES CAREY MARTIN | — | 1457323412 |
| DR. JAMES VACEK | DDS | 1710959473 |
| DR. KEITH SONNIER | DDS | 1073586301 |
| BRUCE SHINTARO ABE | D.D.S. | 1235104688 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.