Jesse Ryan Gray in Fayetteville - Orthodontics And Dentofacial Orthopedics
Jesse Ryan Gray - NPI 1598851156
Jesse Ryan Gray is a Orthodontics And Dentofacial Orthopedics in Fayetteville, Arkansas. Jesse Ryan Gray practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Jesse Ryan Gray is 1598851156. The last update date is 2021-10-14.
Jesse Ryan Gray's current location address is 3119 E Mission Blvd, Fayetteville, Arkansas. You can contact this provider via phone number 4795214181 and fax number 4795210442. The mailing address for Jesse Ryan Gray is 3119 E Mission Blvd, Fayetteville, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jesse Ryan Gray |
|---|---|
| Address | 3119 E Mission Blvd, Fayetteville, Arkansas |
| Phone Number | 4795214181 |
| Fax Number | 4795210442 |
| Sole Proprietor | N |
| Credentials | DDS, MS |
NPI Number Detail
| NPI Number | 1598851156 |
|---|---|
| Provider Enumeration Date | 2006-10-04 |
| Last Updated Date | 2021-10-14 |
Provider Mailing Address Detail
| Address | 3119 E Mission Blvd |
|---|---|
| City | Fayetteville |
| State | Arkansas (AR) |
| Post Code | 727036617 |
| Phone Number | 4795214181 |
| Fax Number | 4795210442 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 3547 |
|
Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
|
Post Comment/ Review Below
What is the unique identifier code issued to Jesse Ryan Gray by the Centers for Medicare & Medicaid Services (CMS)?
The Jesse Ryan Gray has been assigned the NPI (National Provider Identifier) 1598851156. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Jesse Ryan Gray is physically located?
The Jesse Ryan Gray is physically situated at the following address: 3119 E Mission Blvd, Fayetteville, AR, 727036617.
What is Jesse Ryan Gray's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jesse Ryan Gray is Orthodontics And Dentofacial Orthopedics, and the taxonomy code that categorizes this field of expertise is 1223X0400X.
On what date did the Jesse Ryan Gray receive its 1598851156 assignment from the Centers for Medicare & Medicaid Services?
The Jesse Ryan Gray was assigned its 1598851156 by the Centers for Medicare & Medicaid Services on 2006-10-04.
As of what date were the details related to Jesse Ryan Gray most recently updated or revised?
The information pertaining to Jesse Ryan Gray, including its address, specialty, and other relevant details, was last updated or revised on 2021-10-14.