Individual
WILLIAM JEFFERSON GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
114 E BROOKWOOD ROAD, MIDFIELD, AL 35228
(205) 923-6828
(205) 923-1680
Mailing address
4334 MARDEN DR, BIRMINGHAM, AL 35242-2212
(205) 923-6828
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3419
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51091626GRA
BLUE CROSS BLUE SHIELD
AL
Enumeration date
11/24/2006
Last updated
07/08/2007
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