Gray, Jerry Wayne

Gray, Jerry Wayne is an individual health care provider with primary practice located at 6601 S Rural Rd , Tempe AZ 85283-3747. He recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as his primary health care specialty. Gray, Jerry Wayne can be contacted via phone (480) 456-0821.

Contact Information

Primary practice address
6601 S Rural Rd Tempe AZ 85283-3747
Phone: (480) 456-0821
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 4544 Arizona

Profile Details

NPI number 1518276559
LBN Legal business name Gray, Jerry Wayne
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 24th, 2010
Last updated Oct 15th, 2010 - 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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