Trumble, Graden
Trumble, Graden is an sole proprietor health care provider with primary practice located at 2029 Valleygate Dr Ste 201 , Fayetteville NC 28304-3772. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Orthodontics and Dentofacial Orthopedics is his primary health care specialty. Trumble, Graden can be contacted via phone (910) 885-2451.Contact Information
Primary practice address
2029 Valleygate Dr Ste 201
Fayetteville NC 28304-3772
Phone: (910) 885-2451
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | 1504 | Wyoming |
Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 12157 | North Carolina |
Profile Details
NPI number | 1255960399 |
---|---|
LBN Legal business name | Trumble, Graden |
Credentials | DDS, MS |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 1st, 2020 |
Last updated | Nov 23rd, 2021 - about 4 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 | 1255960399 | NPPES |
Wyoming | Other | 1504 | WYOMING DENTAL LICENSE |
Wyoming | Other | 12157 | WYOMING DENTAL LICENSE |
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