DR. PETER STIANSON GRAHAM


Address: 4760 Kalamazoo Ave Se, Grand Rapids, MI 49508-4628
Phone: 6162813020

DR. PETER STIANSON GRAHAM (NPI# 1316926819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316926819
Entity Type Individual
Full Name DR. PETER STIANSON GRAHAM
Credential DDS
Practice Address 4760 Kalamazoo Ave Se
Grand Rapids
MI 49508-4628
Practice Telephone 6162813020
Practice Fax Number 6162816110
Mailing Telephone 6162813020
Mailing Fax Number 6162816110
Enumeration Date 2006-01-12
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
8574 MI Dental Providers

Other Providers PETER GRAHAM

NPI Name Taxonomy Address Enumeration
1790118172 Peter Douglass Graham Counselor 4055 Spencer St, Las Vegas, NV 89119-9303 2013-08-20
1326487000 Peter Pappas Graham Pharmacist 1628 Highwoods Blvd, Greensboro, NC 27410-2048 2013-06-17
1205961604 Peter Frederick Graham Dentist 111 N Broadway, Crookston, MN 56716-1730 2007-02-23
1215092721 Peter Graham Psychologist 901 Kentucky St, Suite 301, Lawrence, KS 66044-2823 2006-12-26
1215023833 Peter J Graham Optometrist 700 Marketplace Blvd, Hamilton, NJ 08691 2006-10-04
1841385226 Peter E Graham Internal Medicine 100 North Academy Ave, Danville, PA 17822-2001 2006-10-03
1932209434 Peter Timothy Graham Family Medicine 13191 Schavey Rd, Suite 3, Dewitt, MI 48820-9036 2006-09-24

Office Location

Street Address 4760 KALAMAZOO AVE SE
City GRAND RAPIDS
State MI
Zip Code 49508-4628

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063012367 Jenna Brianne Labrecque Social Worker 2013 East Castle Dr, Suite B, Kentwood, MI 49508 2020-10-27
1881208809 Morgan Paige Ballmann Physical Therapy Assistant 4150 Kalamazoo Ave. Se, Grand Rapids, MI 49508 2020-09-08
1699385740 Jodie Lynn Robertson Prosthetist 3720 Eastern Se, Grand Rapids, MI 49508 2020-08-04
1003460874 Derm Institute of West Michigan Plc Dermatology 6750 Kalamazoo Ave, Suites C & D, Grand Rapids, MI 49508 2019-07-30
1255801833 Ikeia Tynika Hill Licensed Practical Nurse 1627 Lotus, Grand Rapids, MI 49508 2018-11-27
1326556838 Araceli Contreras-hernandez Behavior Technician 3566 Eastern Ave. Se, Kentwood, MI 49508 2018-01-18
1881102788 A Grand Rapids Senior Social Exchange and Adult Day Center In Home Supportive Care 3212 Eastern Ave Se, Grand Rapids, MI 49508 2018-01-14
1952827107 Nupoint Services LLC Clinic/Center 1620 44th Street Se, Grand Rapids, MI 49508 2017-08-19
1710427695 Embracing Life Afc Custodial Care Facility 1405 Forrester St S.e., Grand Rapids, MI 49508 2017-02-27
1083162838 Katherine Berenice Campoverde Arevalo Technician, Other 1157 Billigs Ct Se, Ap# 1a, Grand Rapids, MI 49508 2016-09-21
Find all providers in zip 49508

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265059570 Samuel T. Bander, Dds, Plc Dentist 1151 E Paris Ave Se Ste 100, Grand Rapids, MI 49546-8369 2020-07-02
1295360428 Dj Edgerle, Dds, PC Dentist 751 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546-2391 2020-03-09
1639638265 Mark E Peterson, Dds Dentist 2440 Gaynor Ave Nw, Grand Rapids, MI 49544-1830 2019-03-13
1811463730 Ryan C. Van Haren, Dds Pllc Dentist 2144 E Paris Ave Se Ste 110, Grand Rapids, MI 49546-6111 2018-10-18
1386138881 Jayson Lynn Clore Dentist 334 68th St Sw, Grand Rapids, MI 49548-7179 2018-06-18
1154788230 Kb Family Dentistry Plc Dentist 3167 Kalamazoo Ave Se # 1, Grand Rapids, MI 49508-1475 2016-01-21
1821471616 Healthy Smile Plc Dentist 2021 44th St Sw, Grand Rapids, MI 49508 2015-06-30
1841694387 Jerry B. Mulder Dds Plc Dentist 515 Michigan St Ne Ste 202, Grand Rapids, MI 49503-5721 2014-10-13
1609277854 Alexis Neuman Dentist 3930 Burton St Se, Grand Rapids, MI 49546-5819 2014-09-08
1124439476 Bryton Mansfield Dentist 1636 Leonard St Nw, Grand Rapids, MI 49504-3950 2014-05-08
Find all providers in GRAND RAPIDS

Competitor

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City GRAND RAPIDS
Zip Code 49508

Improve Information

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Dataset Information

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.

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