MEDICARE: JARED RICHARD 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	1223G0001X	General Practice Dentistry	30.025775	OH

General Provider Information

NPI Number	:	1093371387
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JARED RICHARD GRAHAM DDS

Provider Business Mailing Address
First Line	:	5258 MONTGOMERY RD
Second Line	:
City	:	NORWOOD
State	:	OH
Zip	:	45212-1648
Country	:	US
Telephone Number	:	513-531-2338
Fax Number	:	513-841-5545

Provider Business Practice Location Address
First Line	:	5258 MONTGOMERY RD
Second Line	:
City	:	NORWOOD
State	:	OH
Zip	:	45212-1648
Country	:	US
Telephone Number	:	513-531-2338
Fax Number	:	513-841-5545

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

Provider Enumeration Date	:	05/13/2019
Last Update Date	:	05/13/2019

Similar Medicare Providers

1285004077 — THE WALLACE GROUP GENERAL DENTISTRY FOR TODAY, INC
Practice Location Address:

5258 MONTGOMERY RD
NORWOOD, OH
45212-1648

Practice Phone: 513-531-2338
Practice Fax:

1649132192 — WALLACE FAMILY DENTISTRY LLC
Practice Location Address:

5258 MONTGOMERY RD
CINCINNATI, OH
45212-1648

Practice Phone: 513-531-2338
Practice Fax: 513-841-5545

1295687192 — MS. EVA MARIE WALKER
Practice Location Address:

4515 ALLISON ST
NORWOOD, OH
45212-7500

Practice Phone: 800-275-8777
Practice Fax:

1861495442 — STACY CLARENCE OSBORNE DPM
Practice Location Address:

5521 MONTGOMERY RD
NORWOOD, OH
45212-1848

Practice Phone: 513-351-6300
Practice Fax:

1427057124 — DR. DAVID NOEL LASSE O.D.
Practice Location Address:

4600 SMITH RD
NORWOOD, OH
45212-2793

Practice Phone: 513-631-8889
Practice Fax: 513-631-8891

1629061569 — MR. LOUIS FLASPOHLER MD
Practice Location Address:

2355 NORWOOD AVE , SUITE 1
CINCINNATI, OH
45212-2750

Practice Phone: 513-351-0800
Practice Fax: 513-351-3970

Directions to “ JARED RICHARD GRAHAM DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.