Individual provider · Type 1 NPI

Lora D. Graves, DDS

General Practice Dentistry · Scott Afb, IL

NPI number 1366437089 Active

Practice location

310 W Losey St
Scott Afb, IL 62225-5250

Mailing address

1014 Sycamore Pl
O Fallon, IL 62269-3723

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X2756 (WV)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1366437089

Lora D. Graves, DDS's National Provider Identifier is 1366437089, issued on Sep 19, 2005. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Scott Afb, IL. The record was last updated on Jul 13, 2026.