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