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
Phone: (973) 675-1900
Fax: (973) 675-4021
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205997608 | NPPES |
| New Jersey | Other | 1194996645 | 444 WILLIAM STREET |
| New Jersey | MEDICAID | 1836706 | 444 WILLIAM STREET |
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