John I Gray Iii Psc

LBN: John I Gray Iii Psc
John I Gray Iii Psc is an health care organization with primary practice located at 25 E High St , Mt Sterling KY 40353-1267. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. John I Gray Iii Psc can be contacted via phone (859) 498-6204, or through Gray, John I 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
Authorized official contact:
Name: Gray, John I Doctor of Dental Medicine (DMD)
Phone: (859) 498-6204

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 4210 Kentucky

Profile Details

NPI number 1184772774
LBN Legal business name John I Gray Iii Psc
DBA Doing business as
Authorized official Gray, John I Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 8th, 2007
Last updated Oct 28th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184772774 NPPES
Kentucky MEDICAID 60038353
Kentucky MEDICAID 61941258
Kentucky MEDICAID 64180185
Kentucky MEDICAID 60002284
Kentucky MEDICAID 64942584
Kentucky MEDICAID 65911877

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