Individual
DR. GRADEN TRUMBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
2029 VALLEYGATE DR STE 201, FAYETTEVILLE, NC 28304-3772
(910) 885-2451
Mailing address
2035 E TETON BLVD, GREEN RIVER, WY 82935-6237
(307) 871-5413
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
1504
WY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12157
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12157
NORTH CAROLINA DENTAL LICENSE
NC
01
—
1504
WYOMING DENTAL LICENSE
WY
Enumeration date
04/01/2020
Last updated
11/23/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us