Richard Graham, D.D.S

NPI 1215043104 · on the registry since 2006 · sole proprietor

Practice

Address: 1400 Southwest Blvd
Suite C
Jefferson City, MO 65109
Phone: (573) 635-7216
Fax: (573) 635-2646
Organisation at this address: Jefferson City Oral And Maxillofacial Surgery, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 1223S0112X
1223S0112X
Licence states on file: MO
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2008-02-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri