Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BAILEY HUDSON GRAHAM IV, DDS
Active Sole ProprietorDR. BAILEY HUDSON GRAHAM IV, DDS is a General Dentistry healthcare provider located in PETALUMA, California. NPI 1396912242 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · PETALUMA, CA
Registration Details
- NPI Number
- 1396912242
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 9, 2008 (18.280324714174 yrs)
- Last Updated
- May 9, 2008
- License
-
53792 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1126 B STPETALUMA, CA, 949524055Browse CA providers · Browse ZIP 94952
- Phone
- 7077627183
- Fax
- 7077624490
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in PETALUMA, CA
| Name | Credential | NPI |
|---|---|---|
| DR. KLAUS J RADTKE | D.D.S. | 1265432454 |
| JOHN WILLIAM SINCLAIR | D.D.S. | 1578535472 |
| DR. LOUIS HENRY HIMMELSTEIN | D.D.S. | 1841225067 |
| DR. VON CHAN | D.D.S., INC | 1922027440 |
| GARY KOMENAKA | DMD | 1649284118 |
| DR. MICHAEL W. JONES | D.D.S. | 1427150275 |
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.