# CHARLES E GRAPER MD DDS PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346427416
- **Authorized official:** BEVERLY GRAPER (PRESIDENT)
- **Authorized official phone:** (352) 331-6661

## Contact information

- **Practice address:** 832 NW 57TH ST, GAINESVILLE, FL 32605-6415
- **Practice address phone:** (352) 331-6661
- **Practice address fax:** (352) 331-6336
- **Mailing address:** 832 NW 57TH ST, GAINESVILLE, FL 32605-6415
- **Mailing address phone:** (352) 331-6661
- **Mailing address fax:** (352) 331-6336

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | ME0045100 | FL | Yes |

## Other

- **Enumeration date:** 01/30/2008
- **Last updated:** 03/13/2008