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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255960399 NPPES
Wyoming Other 1504 WYOMING DENTAL LICENSE
Wyoming Other 12157 WYOMING DENTAL LICENSE

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