Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1962717207 Individual Practitioner Male Practitioner

Dr. Brendan David Graham , DMD

Dentist - General Practice • Streator, IL

Professional Overview & Biography Verified Profile Summary

Dr. Brendan Graham, DMD is a registered healthcare professional specializing in Dentist - General Practice in Streator, IL. Practice services are available at 318 N BLOOMINGTON ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

318 N Bloomington St

Streator, IL 613642218

Telephone 8156722647
Fax 8156725201

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Streator, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
3 Specialists

Practicing in Streator, IL (5581 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 019028327

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1669747325

Doctor of Dental Surgery

Dr. Kelissa Peterson , DMD

Dentist - General Practice

NPI 1861047284

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 11, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location August 11, 2010

Registered at 318 N BLOOMINGTON ST, STREATOR, IL 613642218 (Tel: 8156722647)

📍
Updated Business Mailing Address August 11, 2010

Registered at 318 N BLOOMINGTON ST, STREATOR, IL 613642218 (Tel: 8156722647)

👤
Provider Name / Credentials Updated August 11, 2010

Recorded as BRENDAN GRAHAM, D.M.D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 11, 2010

Dentist (License #019028327 in IL)

🟢
Initial NPI Registration & Enumeration August 11, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962717207
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 11, 2010
Last Update: August 11, 2010
Sole Proprietor: Yes

Mailing Address

318 N Bloomington St

Streator, IL 613642218

Phone: 8156722647

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.