Stefanie M Graham, Hygienist
Dental Hygienist in Racine, WI. Individual provider (NPI-1).
NPI number1154557643
StatusActive
Last updated in NPPESJun 10, 2009
Details
- NPI
- 1154557643
- Entity type
- Individual (NPI-1)
- Name
- Stefanie M Graham
- Credential
- Hygienist
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 10, 2009
- Last updated
- Jun 10, 2009
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 124Q00000X | Dental Hygienist | 10535-016 | WI | Yes |
Practice location
2405 Northwestern AveRacine, WI 53404-2534
Phone 262-886-0474 · Fax 252-886-1672
Mailing address
2405 Northwestern AveRacine, WI 53404-2534
Phone 262-886-0474 · Fax 252-886-1672
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 11 Dental Hygienist providers in Racine · All 1,428 providers in Racine
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