Edithann J Graham DMD Ms Inc
NPI 1700460748ActiveOrganization· Dentist, Oral and Maxillofacial Surgery· San Diego, CA
Dentist, Oral and Maxillofacial Surgery in San Diego, California, registered in NPPES in May 2021. The authorized official on file is Edithann Graham, DMD, Owner.
Overview
| NPI | 1700460748 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 6, 2021 |
| Last updated in NPPES | May 6, 2021 |
| Certified by provider | May 6, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Oral and Maxillofacial Surgery Primary | 1223S0112X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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