Gray Family Dentistry

NPI 1073738019 - Dentist - 1223G0001X

NPI Details
NPI 1073738019
Enumeration Date 04/16/2007
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ANDREW A ANDREW
Position OWNER
Phone (870) 933-8444
Fax (870) 933-9078
Practice Location
2206 FOWLER AVE
JONESBORO AR, 72401-6115, US
Phone (870) 933-8444
Fax (870) 933-9078
Business Location
2206 FOWLER AVE
JONESBORO AR, 72401-6115, US
Phone (870) 933-8444
Fax (870) 933-9078
Toxanomy
Taxonomy Code 1223G0001X
License State Arkansas
License Number 2980
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According to our database, Gray Family Dentistry NPI is 1073738019, taxonomy code is 1223G0001X and license number is 2980, license state is located at Arkansas. Gray Family Dentistry physically located at 2206 Fowler Ave, Jonesboro AR, 72401-6115. NPI Number 1033115704 has the healthcare provider type.

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1073738019 NPI number is provided on an as is basis without warranty of any kind. 1073738019 is maintained by the National Plan & Provider Enumeration System. The contents of Gray Family Dentistry are for informational purposes only.