Edithann J Graham DMD Ms Inc
NPI 1255005153ActiveOrganization· Dentist, Periodontics· San Diego, CA
Dentist, Periodontics in San Diego, California, registered in NPPES in August 2021. The authorized official on file is Edithann Jennings Graham, DMD, Owner/Ceo.
Overview
| NPI | 1255005153 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 4, 2021 |
| Last updated in NPPES | Aug 4, 2021 |
| Certified by provider | Aug 4, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Periodontics Primary | 1223P0300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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