DR. LARRY LLOYD GRAHAM D.D.S
NPI 1669572178
Dentist - Oral and Maxillofacial Surgery in Indianapolis, IN

Active since September 24, 2006
1050 WISHARD BLVD, RM. 4201, INDIANAPOLIS, IN 46202(317) 274-5315 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Dr. Larry Lloyd Graham D.d.s NPPES

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

DR. LARRY LLOYD GRAHAM D.D.S (NPI 1669572178) is an individual oral and maxillofacial surgery provider in Indianapolis, Indiana, licensed in Indiana (12006195A) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1669572178
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. LARRY LLOYD GRAHAMCredential: D.D.S
Location Address1050 WISHARD BLVD, RM. 4201Indianapolis, IN 46202-2872
Mailing Address1050 Wishard Blvd, Rm. 4201Indianapolis, IN 46202-2872 · (317) 274-5315
Sole ProprietorYes
Enumeration DateSeptember 24, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1669572178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in IN · 12006195A
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
1050 WISHARD BLVD, Indianapolis, IN 46202

Other Identifiers 1

Medicare UPIN60182IN

Other Providers at the Same Location NPPES 20

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

Physician Assistant
1050 WISHARD BLVD
INDIANAPOLIS, IN 46202
Dentist (Oral and Maxillofacial Surgery)
1050 WISHARD BLVD, ROOM 4201
INDIANAPOLIS, IN 46202
Dentist
1050 WISHARD BLVD
INDIANAPOLIS, IN 46202
Student in an Organized Health Care Education/Training Program
1050 WISHARD BLVD
INDIANAPOLIS, IN 46202
Dietitian, Registered
1050 WISHARD BLVD
INDIANAPOLIS, IN 46202
Student in an Organized Health Care Education/Training Program
1050 WISHARD BLVD
INDIANAPOLIS, IN 46202
Social Worker (Clinical)
1050 WISHARD BLVD
INDIANAPOLIS, IN 46202
Emergency Medicine
1050 WISHARD BLVD, SUITE R2200
INDIANAPOLIS, IN 46202

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 Larry Graham's NPI number?

The NPI number for Larry Graham is 1669572178. It was assigned to this individual provider in the NPPES registry on September 24, 2006.

Where is Larry Graham located?

Larry Graham practices at 1050 Wishard Blvd Rm. 4201, Indianapolis, IN 46202. The listed phone number is (317) 274-5315.

What is Larry Graham's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Larry Graham was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.