Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1316926819 Individual Practitioner Male Practitioner

Dr. Peter Stianson Graham , DDS

Dentist - General Practice • Grand Rapids, MI

Professional Overview & Biography Verified Profile Summary

Dr. Peter Graham, DDS is a registered healthcare professional specializing in Dentist - General Practice in Grand Rapids, MI. Practice services are available at 4760 KALAMAZOO AVE SE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4760 Kalamazoo Ave Se

Grand Rapids, MI 495084628

Telephone 6162813020
Fax 6162816110
Associated Practice Facility / Clinic
🏢 Kevin A. Coe D.d.s., Pc Facility NPI 1477560043

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Grand Rapids, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.0 Yrs
State Avg: 15.8 Yrs
Regional Practice Density
174 Specialists

Practicing in Grand Rapids, MI (4360 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 MI 8574

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.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 4760 KALAMAZOO AVE SE, GRAND RAPIDS, MI 495084628 (Tel: 6162813020)

📍
Updated Business Mailing Address July 08, 2007

Registered at 4760 KALAMAZOO AVE SE, GRAND RAPIDS, MI 495084628 (Tel: 6162813020)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as PETER GRAHAM, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #8574 in MI)

🟢
Initial NPI Registration & Enumeration January 12, 2006

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: 1316926819
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 12, 2006
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

4760 Kalamazoo Ave Se

Grand Rapids, MI 495084628

Phone: 6162813020

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.