Healthcare Provider Details

I. General information

NPI: 1699639773
Provider Name (Legal Business Name): DAVID M GRAHAM DMD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2025
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

406 3RD AVE NE
CULLMAN AL
35055-2928
US

IV. Provider business mailing address

406 3RD AVE NE
CULLMAN AL
35055-2928
US

V. Phone/Fax

Practice location:
  • Phone: 256-739-6418
  • Fax:
Mailing address:
  • Phone: 256-739-6418
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. DAVID MATTHEW GRAHAM
Title or Position: OWNER
Credential: DMD
Phone: 256-347-0152