Individual
DR. JEFFREY SCOTT GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10160 SUPERIOR WAY, AMELIA COURT HOUSE, VA 23002-4744
(804) 561-4379
(804) 561-2019
Mailing address
7517 CAMERON ROAD, SUITE 107, AUSTIN, TX 78752
(512) 328-6763
(512) 328-7511
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
21390
TX
1223G0001X
General Practice Dentistry
Primary
0401411528
VA
Other
Enumeration date
08/26/2006
Last updated
12/07/2020
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