Search › Kentucky › 122300000X
Brad Graham, DMD
NPI 1255591384 · on the registry since 2008
Practice
- Address
- 1857 Tucker Way
Bowling Green, KY 40104 - Phone
- (270) 781-2952
- Fax
- (270) 793-0977
- Organisation at this address
- Eli Jackson Iii Psc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- KY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-06-12
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 Kentucky