Graham, Randall K
Graham, Randall K is an individual health care provider with primary practice located at 9006 E 62Nd St Suite A, Tulsa OK 74133-6371. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Graham, Randall K can be contacted via phone (918) 249-0249.Contact Information
Primary practice address
9006 E 62Nd St Suite A
Tulsa OK 74133-6371
Phone: (918) 249-0249
Fax: (918) 249-1055
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 3842 | Oklahoma |
Profile Details
| NPI number | 1518950088 |
|---|---|
| LBN Legal business name | Graham, Randall K |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2005 |
| Last updated | Jul 9th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518950088 | NPPES |
| Oklahoma | Other | 731275745001 | BCBS |
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