Gray, Sandra
Gray, Sandra is an individual health care provider with primary practice located at 3502 W Northside Dr , Jackson MS 39213-4454. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Gray, Sandra can be contacted via phone (601) 362-5321.Contact Information
Primary practice address
3502 W Northside Dr
Jackson MS 39213-4454
Phone: (601) 362-5321
Fax: (601) 364-2600
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 1851-80DH | Mississippi |
Profile Details
| NPI number | 1164451795 |
|---|---|
| LBN Legal business name | Gray, Sandra |
| Credentials | Registered Dental Hygienist (RDH) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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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