Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Edithann Jennings Graham, DMD

Individual provider Periodontics · NPI 1063490639

Dr. Edithann Jennings Graham, DMD is a Periodontics in San Diego, California. Licensed in Arizona and California. Registered with an NPI since 2006.

Licensed in
AZ, CA
In the registry since
2006
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

1806 Cable St
San Diego, CA 92107-3103
Phone: (619) 226-4784
Fax: (619) 226-3027
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence CA56651 (CA)
Periodontics Taxonomy 1223P0300X · Licence 5253 (AZ)

Record details

NPI number1063490639
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedJanuary 4, 2006
Last updated in NPPESJuly 17, 2009

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