Dr. Peter Frederick Graham , DDS
Dentist - General Practice • Crookston, MN
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Peter Graham has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Peter Graham, DDS was a registered Dentist - General Practice practicing in Crookston, MN. Throughout an active medical career spanning 18 years, Dr. Graham provided care at the practice location at 111 N BROADWAY until profile deactivation on 2025-12-11.
Practice Location & Contact Primary Location
111 N Broadway
Crookston, MN 567161730
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Crookston, MN
Practicing in Crookston, MN (2262 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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
Dentist - General Practice
Doctor of Dental Surgery
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on December 11, 2025
NPI status registered as active in NPPES database
Registered at 111 N BROADWAY, CROOKSTON, MN 567161730 (Tel: 2182817240)
Registered at 111 N BROADWAY, CROOKSTON, MN 567161730 (Tel: 2182817240)
Recorded as PETER GRAHAM, D.D.S.
Dentist (License #D9593 in MN)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
111 N Broadway
Crookston, MN 567161730
Phone: 2182817240
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