| Dr Jeremy Gordon Graham, DDS | |
|
78361 Highway 25, Folsom, LA 70437-3320 | |
| (985) 796-9345 | |
| Not Available |
| Full Name | Dr Jeremy Gordon Graham |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 78361 Highway 25, Folsom, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356503700 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6096 (Louisiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jeremy Gordon Graham, DDS 78361 Highway 25, Folsom, LA 70437-3320 Ph: (985) 796-9345 | Dr Jeremy Gordon Graham, DDS 78361 Highway 25, Folsom, LA 70437-3320 Ph: (985) 796-9345 |
Dr. Chad Schiele Vaught, DDS Dentist Medicare: Medicare Enrolled Practice Location: 78361 Highway 25, Folsom, LA 70437 Phone: 985-796-9345 | |
Dr. James M Pittman, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 12183 Richardson Hill Rd, Folsom, LA 70437 Phone: 985-796-8500 Fax: 985-796-8501 |