Gray, Sandra D

Gray, Sandra D is an individual health care provider with primary practice located at 444 William St , East Orange NJ 07017-2213. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Gray, Sandra D can be contacted via phone (973) 675-1900.

Contact Information

Primary practice address
444 William St East Orange NJ 07017-2213
Fax: (973) 675-4021
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 22D101572500 New Jersey

Profile Details

NPI number 1205997608
LBN Legal business name Gray, Sandra D
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2006
Last updated Jun 3rd, 2008 - about 16 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 1205997608 NPPES
New Jersey Other 1194996645 444 WILLIAM STREET
New Jersey MEDICAID 1836706 444 WILLIAM STREET

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