Provider Demographics
NPI:1326117912
Name:GRABER, DENNIS RALPH (DDS)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:RALPH
Last Name:GRABER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1729 S CLIFF AVE
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57105-2126
Mailing Address - Country:US
Mailing Address - Phone:605-339-1369
Mailing Address - Fax:605-334-5590
Practice Address - Street 1:1729 S CLIFF AVE
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105-2126
Practice Address - Country:US
Practice Address - Phone:605-339-1369
Practice Address - Fax:605-334-5590
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDM4961223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice