Jeffery Robert Graves
Oral & Maxillofacial Surgeon
19 Rotary Way
Vallejo
, California 94591-8475
Jeffery Robert Graves
Oral & Maxillofacial Surgeon
19 Rotary Way
Vallejo
, California 94591-8475
(707) 642-5032
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About
Features
Specialties
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Jeffery Robert Graves
- 19 Rotary Way
- Vallejo, CA
- Zip : 94591-8475
- Fax : (707) 642-5032
- Phone : (707) 642-0433
Second Address
- Jeffery Robert Graves
- 19 Rotary Way
- Vallejo, CA
- Zip : 94591-8475
- Fax : (707) 642-5032
- Phone : (707) 642-0433
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgeon | 30918 | CA |
National Provider Identifier
| NPI | 1184601791 |
|---|---|
| Provider Name | Jeffery Robert Graves |
| First Address | Vallejo, CA 94591-8475 |
| Second Address | Vallejo, CA 94591-8475 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/12/2005 |
| Last Update Date | 12/10/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.