Jonathan Russell Gray in Fargo - Oral And Maxillofacial Surgery
Jonathan Russell Gray - NPI 1508048521
Jonathan Russell Gray is a Oral And Maxillofacial Surgery in Fargo, North Dakota. Jonathan Russell Gray practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Jonathan Russell Gray is 1508048521. The last update date is 2011-08-19.
Jonathan Russell Gray's current location address is 4344 20th Ave S, Fargo, North Dakota. You can contact this provider via phone number 7012395969. The mailing address for Jonathan Russell Gray is 4344 20th Ave S, Fargo, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jonathan Russell Gray |
|---|---|
| Address | 4344 20th Ave S, Fargo, North Dakota |
| Phone Number | 7012395969 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1508048521 |
|---|---|
| Provider Enumeration Date | 2007-11-30 |
| Last Updated Date | 2011-08-19 |
Provider Mailing Address Detail
| Address | 4344 20th Ave S |
|---|---|
| City | Fargo |
| State | North Dakota (ND) |
| Post Code | 581037436 |
| Phone Number | 7012395969 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 2096 |
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Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
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What is the unique 10-digit identification code assigned to Jonathan Russell Gray by the Centers for Medicare & Medicaid Services?
The Jonathan Russell Gray has been issued the NPI (National Provider Identifier) 1508048521, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Jonathan Russell Gray located?
The Jonathan Russell Gray is located at 4344 20Th Ave S, Fargo, ND 581037436.
What is Jonathan Russell Gray's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jonathan Russell Gray's specialized field of practice is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 1223S0112X.
When was the Jonathan Russell Gray's 1508048521 issued?
The Jonathan Russell Gray's 1508048521 was issued on 2007-11-30.
As of what date was the information regarding Jonathan Russell Gray, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jonathan Russell Gray, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-08-19.