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

Dr. Graydon H. Coon, DDS

Individual provider Dentist · NPI 1417174822

Dr. Graydon H. Coon, DDS is a Dentist in Portage, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2007
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

1250 E Milham Ave
Portage, MI 49002-3015
Phone: (269) 327-6100
Fax: (269) 327-0460
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 018493 (MI)

Record details

NPI number1417174822
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedApril 19, 2007
Last updated in NPPESJuly 8, 2007
Mailing address1250 E Milham Ave, Portage, MI 49002-3015

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