Individual provider · Type 1 NPI

Larry Lloyd Graham, D.D.S

Oral and Maxillofacial Surgery (Dentist) · Indianapolis, IN

NPI number 1669572178 Active

Practice location

1050 Wishard Blvd, Rm. 4201
Indianapolis, IN 46202-2872

Call (317) 274-5315 Map

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X12006195A (IN)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1669572178

Larry Lloyd Graham, D.D.S's National Provider Identifier is 1669572178, issued on Sep 24, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Indianapolis, IN. The record was last updated on Jul 8, 2007.