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EDITHANN J GRAHAM DMD MS INC
NPI 1255005153
Dentist - Periodontics in San Diego, CA

Active since August 04, 2021
1806 CABLE ST, SAN DIEGO, CA 92107(619) 226-4784(619) 226-3027 Get Directions Write a Review

NPPES record last updated: August 4, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Edithann J Graham Dmd Ms Inc NPPES

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

EDITHANN J GRAHAM DMD MS INC (NPI 1255005153), doing business as Ocean Beach Periodontics And Dental Implants, is a healthcare organization registered as a periodontics in San Diego, California and active in the NPI registry since August 2021. The organization lists Edithann Jennings Graham, Owner/ceo, as its authorized official.

NPPES Registry Identity

NPI1255005153
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameEDITHANN J GRAHAM DMD MS INC
Location Address1806 CABLE STSan Diego, CA 92107
Mailing Address1806 Cable StSan Diego, CA 92107 · (619) 226-4784 · Fax (619) 226-3027
Phone(619) 226-4784
Fax(619) 226-3027
Organization SubpartNo
Authorized OfficialEdithann Jennings GrahamOwner/ceo · (619) 226-4784
Enumeration DateAugust 4, 2021
NPPES CertifiedAugust 4, 2021
✔ NPI 1255005153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
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

Doing Business AsOcean Beach Periodontics And Dental Implants

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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. EDITHANN JENNINGS GRAHAM DMD
Dentist (Periodontics)
1806 CABLE ST
SAN DIEGO, CA 92107
San Diego County (619) 226-4784
DR. MEGAN SMITH DMD
Dentist (General Practice)
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 J Graham Dmd Ms Inc's NPI number?

The NPI number for Edithann J Graham Dmd Ms Inc is 1255005153. It was assigned to this organization in the NPPES registry on August 4, 2021. The provider is doing business as Ocean Beach Periodontics and Dental Implants.

Where is Edithann J Graham Dmd Ms Inc located?

Edithann J Graham Dmd Ms Inc is located at 1806 Cable St, San Diego, CA 92107. The listed phone number is (619) 226-4784.

What is Edithann J Graham Dmd Ms Inc's specialty?

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

When was this NPI record last updated?

The NPPES record for Edithann J Graham Dmd Ms Inc was last updated on August 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.