Todd Alan Gray in Minden - Pediatric Dentistry
Todd Alan Gray - NPI 1538259908
Todd Alan Gray is a Pediatric Dentistry in Minden, Nevada. Todd Alan Gray practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Todd Alan Gray is 1538259908. The last update date is 2014-02-17.
Todd Alan Gray's current location address is Po Box 2260, Minden, Nevada. You can contact this provider via phone number 7757828077 and fax number 7757826199. The mailing address for Todd Alan Gray is Po Box 2260, Minden, Nevada. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Todd Alan Gray |
|---|---|
| Address | Po Box 2260, Minden, Nevada |
| Phone Number | 7757828077 |
| Fax Number | 7757826199 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1538259908 |
|---|---|
| Provider Enumeration Date | 2006-10-13 |
| Last Updated Date | 2014-02-17 |
Provider Mailing Address Detail
| Address | Po Box 2260 |
|---|---|
| City | Minden |
| State | Nevada (NV) |
| Post Code | 894232260 |
| Phone Number | 7757828077 |
| Fax Number | 7757826199 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 4354 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100503414 | NV | -- |
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What is the unique identification code assigned to Todd Alan Gray by the Centers for Medicare & Medicaid Services?
The Todd Alan Gray has been issued the NPI (National Provider Identifier) 1538259908. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Todd Alan Gray is located?
The Todd Alan Gray is situated at the following address: Po Box 2260, Minden, NV, 894232260.
What is Todd Alan Gray's specialized field of practice, and what is the corresponding taxonomy classification code?
The Todd Alan Gray's area of specialization is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this field of practice is 1223P0221X.
On what date did the Todd Alan Gray receive the assignment of its 1538259908 from the Centers for Medicare & Medicaid Services?
The Todd Alan Gray was issued its 1538259908 by the Centers for Medicare & Medicaid Services on 2006-10-13.
As of what date were the details pertaining to Todd Alan Gray last refreshed?
The information related to the Todd Alan Gray, including its address, specialty, and other relevant details, was last updated on 2014-02-17.
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