# GRAHAM DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ATLANTIC DENTAL CARE, PLC
- **Other names:** a division of Atlantic Dental Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1720451354
- **Legal business name:** ATLANTIC DENTAL CARE, PLC
- **Authorized official:** DR. DAVID BRUCE GRAHAM D.D.S. (DENTIST)
- **Authorized official phone:** (757) 547-7070

## Contact information

- **Practice address:** 524 ALBEMARLE DR, CHESAPEAKE, VA 23322-5500
- **Practice address phone:** (757) 547-3869
- **Mailing address:** 524 ALBEMARLE DR, CHESAPEAKE, VA 23322-5500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 0401005774 | VA | Yes |
| 122300000X | Dentist | 0401414963 | VA | — |

## Other

- **Enumeration date:** 11/04/2015
- **Last updated:** 11/04/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 007818807 | — | VA |