Dr. John Carl Graf III, D.M.D.
Dentist, General Practice in Advance, MO. Individual provider (NPI-1).
NPI number1154583987
StatusActive
Last updated in NPPESJun 28, 2012
Details
- NPI
- 1154583987
- Entity type
- Individual (NPI-1)
- Name
- Dr. John Carl Graf III
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 2, 2008
- Last updated
- Jun 28, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 2011018803 | MO | Yes |
| 1223G0001X | Dentist, General Practice | 8610 | KY |
Other names
- Trey Graf (Other Name)
Practice location
307 Gabriel StAdvance, MO 63730-0039
Phone 573-722-3044
Mailing address
307 Gabriel StAdvance, MO 63730-0039
Phone 573-722-3044
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