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DR. EDITHANN JENNINGS GRAHAM DMD
NPI 1063490639
Dentist - Periodontics in San Diego, CA

Active since January 04, 2006
1806 CABLE ST, SAN DIEGO, CA 92107(619) 226-4784(619) 226-3027 Get Directions Write a Review

NPPES record last updated: July 17, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Edithann Jennings Graham Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EDITHANN JENNINGS GRAHAM DMD (NPI 1063490639) is an individual periodontics provider in San Diego, California, licensed in California (CA56651) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1063490639
Entity TypeIndividualFemale
Primary Taxonomy1223P0300X
Provider Legal NameDR. EDITHANN JENNINGS GRAHAMCredential: DMD
Location Address1806 CABLE STSan Diego, CA 92107-3103
Mailing Address1806 Cable StSan Diego, CA 92107-3103 · (619) 226-4784 · Fax (619) 226-3027
Phone(619) 226-4784
Fax(619) 226-3027
Sole ProprietorNo
Enumeration DateJanuary 4, 2006
Last NPPES UpdateJuly 17, 2009
✔ NPI 1063490639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Licenses✔ Licensed in CA · CA56651✔ Licensed in AZ · 5253
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
1806 CABLE ST, San Diego, CA 92107
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Other Names 1

Former Name (1)Dr. Edith Ann Jennings Dmd

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MEGAN SMITH DMD
Dentist (General Practice)
1806 CABLE ST
SAN DIEGO, CA 92107
San Diego County (619) 226-4784
EDITHANN J GRAHAM DMD MS INC
Dentist (Periodontics)
1806 CABLE ST
SAN DIEGO, CA 92107
San Diego County (619) 226-4784
DR. TRAVIS STEINBERG DDS
Dentist (Periodontics)
1806 CABLE ST
SAN DIEGO, CA 92107
San Diego County (619) 226-4784
EDITHANN J GRAHAM DMD MS INC
Dentist (Oral and Maxillofacial Surgery)
1806 CABLE ST
SAN DIEGO, CA 92107
San Diego County (619) 226-4784

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edithann Graham's NPI number?

The NPI number for Edithann Graham is 1063490639. It was assigned to this individual provider in the NPPES registry on January 4, 2006. The provider is also known as Dr. Edith Ann Jennings Dmd.

Where is Edithann Graham located?

Edithann Graham practices at 1806 Cable St, San Diego, CA 92107. The listed phone number is (619) 226-4784.

What is Edithann Graham's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

What insurance does Edithann Graham accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Edithann Graham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Edithann Graham was last updated on July 17, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.