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NPI Code Detail

MEDICARE: GRAHAM JONES, D.D.S., M.S.D., P.L.L.C.

MEDICARE: GRAHAM JONES, D.D.S., M.S.D., P.L.L.C.
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
11223X0400XOrthodontics and Dentofacial Orthopedics Dentistry

General Provider Information

NPI Number : 1295683431
Entity Type Code : Organization
Provider Name (Legal Business Name) : GRAHAM JONES, D.D.S., M.S.D., P.L.L.C.
Provider Business Mailing Address
First Line : 14650 N KELSEY ST STE 109
Second Line :
City : MONROE
State : WA
Zip : 98272-1456
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 14650 N KELSEY ST STE 109
Second Line :
City : MONROE
State : WA
Zip : 98272-1456
Country : US
Telephone Number : 360-863-0303
Fax Number :
Authorized Official
Title or Position : OWNER
Name : GRAHAM JONES
Credential : DDS, MSD
Telephone Number : 360-863-0303
Provider Enumeration Date : 03/20/2026
Last Update Date : 03/20/2026

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