Gray, Jordan Ashley
Gray, Jordan Ashley is an individual health care provider with primary practice located at 6710 Oxon Hill Rd Ste 170 , Oxon Hill MD 20745-1123. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Gray, Jordan Ashley can be contacted via phone (301) 686-0710.Contact Information
Primary practice address
6710 Oxon Hill Rd Ste 170
Oxon Hill MD 20745-1123
Phone: (301) 686-0710
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DEN1001795 | District of Columbia |
| Dental Providers / Dentist | 122300000X | 16601 | Maryland |
Profile Details
| NPI number | 1548613086 |
|---|---|
| LBN Legal business name | Gray, Jordan Ashley |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2016 |
| Last updated | Feb 24th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548613086 | NPPES |
| District of Columbia | MEDICAID | 013323059 | |
| District of Columbia | MEDICAID | 680020300 |
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