Kendrick Doron Gray in Goodyear - Dentist
Kendrick Doron Gray - NPI 1760680664
Kendrick Doron Gray is a Dentist in Goodyear, Arizona. Kendrick Doron Gray practices all healthcare services and medical treatments related to Dentist. The NPI Number for Kendrick Doron Gray is 1760680664. The last update date is 2012-11-06.
Kendrick Doron Gray's current location address is 1611 S 173rd Dr, Goodyear, Arizona. You can contact this provider via phone number 6238828348. The mailing address for Kendrick Doron Gray is 1611 S 173rd Dr, Goodyear, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kendrick Doron Gray |
|---|---|
| Address | 1611 S 173rd Dr, Goodyear, Arizona |
| Phone Number | 6238828348 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1760680664 |
|---|---|
| Provider Enumeration Date | 2007-07-03 |
| Last Updated Date | 2012-11-06 |
Provider Mailing Address Detail
| Address | 1611 S 173rd Dr |
|---|---|
| City | Goodyear |
| State | Arizona (AZ) |
| Post Code | 853381951 |
| Phone Number | 6238828348 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | D5504 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 232643 | AZ | -- |
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What is the unique provider identifier assigned to Kendrick Doron Gray?
The Kendrick Doron Gray has been issued the NPI (National Provider Identifier) 1760680664 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Kendrick Doron Gray located?
The Kendrick Doron Gray is located at 1611 S 173Rd Dr, Goodyear, AZ 853381951.
What is the Kendrick Doron Gray's area of specialization and corresponding taxonomy classification?
The Kendrick Doron Gray's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
When did the Kendrick Doron Gray receive its 1760680664?
The Kendrick Doron Gray was issued its 1760680664 on 2007-07-03, which is the date when the organization was assigned this unique identifier.
When was the information regarding Kendrick Doron Gray most recently updated?
The details pertaining to the Kendrick Doron Gray, including its address, specialty, and other relevant information, were last refreshed on 2012-11-06.