Brent Wayne Gray is a Dentist in Logan, Utah. Brent Wayne Gray practices all healthcare services and medical treatments related to Dentist. The NPI Number for Brent Wayne Gray is 1699988790. The last update date is 2007-07-08.
Brent Wayne Gray's current location address is 1445 N 400 E Ste 2, Logan, Utah. You can contact this provider via phone number 4357524136 and fax number 4357525177. The mailing address for Brent Wayne Gray is 1445 N 400 E Ste 2, Logan, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brent Wayne Gray |
|---|---|
| Address | 1445 N 400 E Ste 2, Logan, Utah |
| Phone Number | 4357524136 |
| Fax Number | 4357525177 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1699988790 |
|---|---|
| Provider Enumeration Date | 2007-05-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1445 N 400 E Ste 2 |
|---|---|
| City | Logan |
| State | Utah (UT) |
| Post Code | 843417564 |
| Phone Number | 4357524136 |
| Fax Number | 4357525177 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 276161-9922 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the Brent Wayne Gray's unique identification number?
The Brent Wayne Gray has been assigned the NPI (National Provider Identifier) Number 1699988790 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Brent Wayne Gray located?
The Brent Wayne Gray is located at 1445 N 400 E Ste 2, Logan, UT 843417564.
What is Brent Wayne Gray's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Brent Wayne Gray is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1699988790 to Brent Wayne Gray?
The Centers for Medicare & Medicaid Services originally issued the 1699988790 to Brent Wayne Gray on 2007-05-07.
When was the Brent Wayne Gray's information last updated?
The Brent Wayne Gray's information was last updated on 2007-07-08.