MEDICARE: DR. JEFFREY M GRAHAM DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	DS8595	TN

General Provider Information

NPI Number	:	1881745024
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFFREY M GRAHAM DDS

Provider Business Mailing Address
First Line	:	8652 E BRAINERD RD STE 110
Second Line	:
City	:	CHATTANOOGA
State	:	TN
Zip	:	37421-8313
Country	:	US
Telephone Number	:	423-682-7531
Fax Number	:	423-803-4510

Provider Business Practice Location Address
First Line	:	8652 E BRAINERD RD STE 110
Second Line	:
City	:	CHATTANOOGA
State	:	TN
Zip	:	37421-8313
Country	:	US
Telephone Number	:	423-682-7531
Fax Number	:	423-803-4510

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/15/2007
Last Update Date	:	02/06/2026

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