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JOSH GRAHAM
NPI 1861194706
Dentist - Periodontics in Neptune Beach, FL

Active since March 21, 2023
630 ATLANTIC BLVD STE 7, NEPTUNE BEACH, FL 32266(407) 401-4117 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 13, 2026, Mar 21, 2023 (2 updates tracked since 2023).

About Josh Graham NPPES

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

JOSH GRAHAM (NPI 1861194706) is an individual periodontics provider in Neptune Beach, Florida, licensed in Florida (28387) and active in the NPI registry since March 2023. He maintains a secondary practice location in Detroit.

NPPES Registry Identity

NPI1861194706
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameJOSH GRAHAM
Location Address630 ATLANTIC BLVD STE 7Neptune Beach, FL 32266-4001
Mailing Address1001 Temple GrvWinter Park, FL 32789-2788 · (407) 401-4117
Phone(407) 401-4117
Sole ProprietorYes
Enumeration DateMarch 21, 2023
Last NPPES UpdateMay 13, 20262 updates tracked since enumeration
NPPES CertifiedMay 13, 2026
✔ NPI 1861194706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in FL · 28387
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 2901601892 (MI)
630 ATLANTIC BLVD STE 7, Neptune Beach, FL 32266
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Secondary Practice Location 1

Location 12700 Martin Luther King Jr BlvdDetroit, MI 48208-2576 · Phone (407) 401-4117

Other Providers at the Same Location NPPES 2

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

SAGE DENTAL OF NEPTUNE BEACH PLLC
Dentist
630 ATLANTIC BLVD STE 7
NEPTUNE BEACH, FL 32266
Duval County (561) 999-9650
DR. STEPHANIE ANDREA CATALANO PIVEC DMD
Dentist
630 ATLANTIC BLVD STE 7
NEPTUNE BEACH, FL 32266
Duval County (904) 247-2626

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 Josh Graham's NPI number?

The NPI number for Josh Graham is 1861194706. It was assigned to this individual provider in the NPPES registry on March 21, 2023.

Where is Josh Graham located?

Josh Graham practices at 630 Atlantic Blvd Ste 7, Neptune Beach, FL 32266. The listed phone number is (407) 401-4117.

What is Josh Graham'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 Josh Graham was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.