NPI
Jeremy Gordon Graham
NPI 1356503700
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- D.D.S.
- Type
- Individual
- Enumeration date
- 2008-06-26
- Last updated
- 2019-01-02
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Specialties
Licenses
- License LA
- 6096
Location
- Practice location
- 78361 Highway 25
- City
- Folsom LA
- Postal code
- 70437-3320
- Phone
- (985) 796-9345
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Folsom, LA. 55 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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