Gray, James T

Gray, James T is an individual health care provider with primary practice located at 2404 E Washington St , East Peoria IL 61611-1859. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Gray, James T can be contacted via phone (309) 699-5521.

Contact Information

Primary practice address
2404 E Washington St East Peoria IL 61611-1859
Phone: (309) 699-5521
Fax: (309) 699-7050
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 019-021753 Illinois

Profile Details

NPI number 1164659918
LBN Legal business name Gray, James T
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2009
Last updated Jun 19th, 2009 - about 15 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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