Stefanie Gray in Overland Park - General Practice

Stefanie Gray - NPI 1700901188

Stefanie Gray is a General Practice in Overland Park, Kansas. Stefanie Gray practices all healthcare services and medical treatments related to General Practice. The NPI Number for Stefanie Gray is 1700901188. The last update date is 2007-07-08.

Stefanie Gray's current location address is 12611 Antioch Rd, Overland Park, Kansas. You can contact this provider via phone number 9136859111 and fax number 9136858486. The mailing address for Stefanie Gray is 12611 Antioch Rd, Overland Park, Kansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Stefanie Gray
Address 12611 Antioch Rd, Overland Park, Kansas
Phone Number 9136859111
Fax Number 9136858486
Sole Proprietor N
Credentials D.D.S.

NPI Number Detail

NPI Number 1700901188
Provider Enumeration Date 2007-03-21
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 12611 Antioch Rd
City Overland Park
State Kansas (KS)
Post Code 662131701
Phone Number 9136859111
Fax Number 9136858486

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 60093
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
32441018 KS BCBS KANSAS CITY
808110 KS UNITED CONCORDIA

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FAQs about Stefanie Gray

What is the unique identification code assigned to Stefanie Gray by the Centers for Medicare & Medicaid Services?

The Stefanie Gray has been issued the NPI (National Provider Identifier) 1700901188. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Stefanie Gray?

The Stefanie Gray is situated at 12611 Antioch Rd, in the city of Overland Park, state of KS, with the zip code 662131701.

What is the Stefanie Gray's specialty and taxonomy code?

The Stefanie Gray's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services assign the 1700901188 to Stefanie Gray?

The Centers for Medicare & Medicaid Services assigned the 1700901188 to Stefanie Gray on 2007-03-21.

As of what date was the information pertaining to Stefanie Gray, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Stefanie Gray, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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