Provider Demographics
NPI:1497959712
Name:GRAHAM, ERIKA M (DDS)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:M
Last Name:GRAHAM
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 GANYARD FARM WAY
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27703-6230
Mailing Address - Country:US
Mailing Address - Phone:919-957-2444
Mailing Address - Fax:888-505-9592
Practice Address - Street 1:103 GANYARD FARM WAY
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27703-6230
Practice Address - Country:US
Practice Address - Phone:919-957-2444
Practice Address - Fax:888-505-9592
Is Sole Proprietor?:No
Enumeration Date:2007-06-12
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9387122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCFG0303634OtherDEA