Individual provider · Type 1 NPI

Ivan Graham, DDS

General Practice Dentistry · Chicago, IL

NPI number 1669439865 Active

Practice location

5501 S Halsted St
Chicago, IL 60621-2229

Call (773) 275-2586 Map

Other practice locations

  • 1368 Countryridge Pl, Orlando, FL 32835-8019 · (407) 385-0301

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X019.030195 (IL)
General Practice Dentistry 1223G0001XDN14742 (FL)

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.

8 other providers at this address

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About NPI 1669439865

Ivan Graham, DDS's National Provider Identifier is 1669439865, issued on May 1, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Chicago, IL. The record was last updated on Oct 7, 2025.