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Contact Information

BRAD A GRAHAM, DMD
1857 TUCKER WAY
BOWLING GREEN, KY40104
 Phone: 270-781-2952
 Fax: 270-793-0977
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for BRAD A GRAHAM · (Male)

NPI # 1255591384
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 06/12/2008
Last updated 06/12/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • KY License # KY8362
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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