Gray, John I

Gray, John I is an sole proprietor health care provider with primary practice located at 25 E High St , Mt Sterling KY 40353-1267. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Gray, John I can be contacted via phone (859) 498-6204.

Contact Information

Primary practice address
25 E High St Mt Sterling KY 40353-1267
Phone: (859) 498-6204
Fax: (859) 498-6205
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 306 Kentucky
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 4210 Kentucky

Profile Details

NPI number 1043396963
LBN Legal business name Gray, John I
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 31st, 2006
Last updated Sep 12th, 2019 - about 5 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 1043396963 NPPES
Kentucky MEDICAID 64942584

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