Gray, Andrew A.

Gray, Andrew A. is an individual health care provider with primary practice located at 2206 Fowler Ave , Jonesboro AR 72401-6115. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Gray, Andrew A. can be contacted via phone (870) 933-8444.

Contact Information

Primary practice address
2206 Fowler Ave Jonesboro AR 72401-6115
Phone: (870) 933-8444
Fax: (870) 933-9078
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2980 Arkansas

Profile Details

NPI number 1942425954
LBN Legal business name Gray, Andrew A.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2007
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942425954 NPPES
Arkansas Other 58550 AR. BCBS
Arkansas Other 831344 AR. BCBS

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