EDITHANN J GRAHAM DMD MS INC
NPI 1700460748
Dentist - Oral and Maxillofacial Surgery in San Diego, CA

Active since May 06, 2021
1806 CABLE ST, SAN DIEGO, CA 92107(619) 226-4784(619) 226-3027 Get Directions Write a Review

NPPES record last updated: May 6, 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 1700460748) is a healthcare organization registered as an oral and maxillofacial surgery in San Diego, California and active in the NPI registry since May 2021. The organization lists Edithann Graham, Owner, as its authorized official.

NPPES Registry Identity

NPI1700460748
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameEDITHANN J GRAHAM DMD MS INC
Location Address1806 CABLE STSan Diego, CA 92107-3103
Mailing Address1806 Cable StSan Diego, CA 92107-3103 · (619) 226-4784 · Fax (619) 226-3027
Fax(619) 226-3027
Organization SubpartNo
Authorized OfficialEdithann GrahamOwner · (619) 226-4784
Enumeration DateMay 6, 2021
NPPES CertifiedMay 6, 2021
NPI 1700460748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
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.
1806 CABLE ST, San Diego, CA 92107

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.

Dentist (Periodontics)
1806 CABLE ST
SAN DIEGO, CA 92107
Dentist (General Practice)
1806 CABLE ST
SAN DIEGO, CA 92107
Dentist (Periodontics)
1806 CABLE ST
SAN DIEGO, CA 92107
Dentist (Periodontics)
1806 CABLE ST
SAN DIEGO, CA 92107

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 1700460748. It was assigned to this organization in the NPPES registry on May 6, 2021.

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 Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Edithann J Graham Dmd Ms Inc was last updated on May 6, 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.