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

Josh Graham

Individual provider Periodontics · NPI 1861194706

Josh Graham is a Periodontics in Neptune Beach, Florida. Practices as a sole proprietor and works from 2 locations. Licensed in Florida and Michigan.

Licensed in
FL, MI
In the registry since
2023
Specialties on file
2

Practice location Address checks out

630 Atlantic Blvd Ste 7
Neptune Beach, FL 32266-4001
Phone: (407) 401-4117
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2700 Martin Luther King Jr Blvd, Detroit, MI 48208-2576 — (407) 401-4117

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 28387 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 2901601892 (MI)

Record details

NPI number1861194706
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 21, 2023
Last updated in NPPESMay 13, 2026
Certification dateMay 13, 2026
Mailing address1001 Temple Grv, Winter Park, FL 32789-2788