DR. STEPHEN DUANE GRAHAM SR. (NPI# 1225259344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225259344 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN DUANE GRAHAM SR. |
| Credential | D.D.S. |
| Practice Address |
1602 South Holtzclaw Avenue Chattanooga TN 37404 |
| Mailing Address |
P.o. Box 24475 Chattanooga TN 37422-4475 |
| Practice Telephone | 4236985794 |
| Mailing Telephone | 4235951950 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D.S. 4218 | TN | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BLUECROSSBLUESHIELD | 0107735 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184135733 | Stephen Graham | Speech-Language Pathologist | 126 Monroe Turnpike Suite #210, Trumbull, CT 06611 | 2017-10-22 |
| 1659612711 | Stephen E Graham | Veterinarian | 17622 Burlington Rd, Union Grove, WI 53182-9413 | 2013-03-13 |
| 1265652481 | Stephen Graham | Dentist | 1996 Dougs Park Road, Camp Verde, AZ 86322 | 2007-04-27 |
| 1588773238 | Stephen Lee Graham | Dentist | 8762 Long Point, #102, Houston, TX 77055 | 2006-08-29 |
| 1477521169 | Stephen Lee Graham | Chiropractor | 205 Moser Rd, Louisville, KY 40223-3113 | 2006-03-09 |
| 1790778520 | Stephen J. Graham | Ophthalmology | 177 W Cottonwood Ln Ste 6, Casa Grande, AZ 85122-2552 | 2005-08-26 |
| 1154679959 | Stephen Graham | Physical Therapist | 210 Creekside Dr, Dickson, TN 37055-2176 | 2012-08-27 |
| 1023251907 | Stephen J. Graham Jr. | Case Manager/Care Coordinator | 107 Laurel St, Newport, AR 72112 | 2009-04-08 |
| 1467650804 | Stephen M Graham | Urology | 15813 Paul Vega Md Dr, Suite 201-a, Hammond, LA 70403-1426 | 2007-07-06 |
| 1407073471 | Stephen Moran Graham | Counselor | 2120 W 8th St, #330, Los Angeles, CA 90057-4019 | 2007-04-19 |
| Street Address |
1602 SOUTH HOLTZCLAW AVENUE |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306494216 | Cynthia Caffey | Technician | 1305 E. 28th St. Apt A, Chatta, TN 37404 | 2019-09-04 |
| 1851944482 | Stacey Stokes | Peer Specialist | 1413 Bailey Ave, Chattanooga, TN 37404 | 2019-07-23 |
| 1306354790 | Erlanger Behavioral Health, LLC | Psychiatric Hospital | 804 North Holtzclaw Avenue, Chattanooga, TN 37404 | 2018-01-19 |
| 1245746171 | Davis Supportive Living Home Inc. | Custodial Care Facility | 1106 Duncan Avenue, Chattanooga, TN 37404 | 2017-12-14 |
| 1124544762 | Rachael Anne Maciver | Nurse Practitioner | 1909 South Willow Street, Chattanooga, TN 37404 | 2017-08-15 |
| 1447796214 | Esli Castillo | Nurse Practitioner | 281 N.lyerly St., Suite 200, Chattanooga, TN 37404 | 2017-01-17 |
| 1922542158 | Natasha Elliott | Community Health Worker | 2804 Cannon Ave, Chattanooga, TN 37404 | 2016-12-07 |
| 1730630153 | Jonathan Easter | Taxi | 1611 Anderson Avenue, Apt A, Chattanooga, TN 37404 | 2016-10-20 |
| 1477946143 | Thomas Jereme Holcomb | Nurse Practitioner | 281 N. Lyerly St, Suite 200, Chattanooga, TN 37404 | 2015-03-05 |
| 1922426709 | Sarah Mccary Baker | Internal Medicine | 605 Glenwood Drive, Suite 300, Chattanooga Internal Medicine Group, Chattanooga, TN 37404 | 2014-03-31 |
| Find all providers in zip 37404 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093360794 | Dr. Drew Shabo LLC | Dentist | 1309 Panorama Dr, Chattanooga, TN 37421-4770 | 2019-08-08 |
| 1356901946 | Tn Dental Professionals PC | Dentist | 1309 Panorama Dr Ste 101, Chattanooga, TN 37421-4771 | 2019-06-17 |
| 1447743653 | Tyler Fielding Mccubbins | Dentist | 1612 Gunbarrel Rd Ste 102, Chattanooga, TN 37421-4135 | 2018-06-12 |
| 1083134977 | Evan Scott Myers | Dentist | 951 Riverfront Pkwy Ste 101, Chattanooga, TN 37402-2185 | 2017-06-22 |
| 1851829162 | Adam Nathaniel Parker | Dentist | 7030 Lee Hwy Ste 101, Chattanooga, TN 37421-6795 | 2017-05-31 |
| 1770988834 | 32 Dental, LLC | Dentist | 7333 Shallowford Rd, Chattanooga, TN 37421-2627 | 2014-10-30 |
| 1497168579 | Mark S. Cowart, D.d.s. Inc | Dentist | 4355 Highway 58 Ste 103a, Chattanooga, TN 37416-2941 | 2014-06-06 |
| 1447508098 | Frederick H Thompson | Dentist | 4109 Mountain View Ave, Suite 300, Chattanooga, TN 37415-2096 | 2012-08-29 |
| 1699044487 | Constance Chamberlain Wise | Dentist | 4300 Dayton Blvd, Chattanooga, TN 37415 | 2011-12-22 |
| 1316125354 | Mark Stephen Dill | Dentist | 6102 Shallowford Rd Ste 101, Chattanooga, TN 37421-1684 | 2008-02-01 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37404 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.