Alisha a. Gray, D.D.S. and Clare E. Tannehill Macaulay, D.D.S., Inc
Organization Active NPI Dentist · Plain City, OH
NPI 1003145558 · NPPES record last updated Dec 11, 2009
Key facts
- NPI
- 1003145558
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- License
- 30-021936 (OH)
- Legal business name
- ALISHA A. GRAY, D.D.S. AND CLARE E. TANNEHILL MACAULAY, D.D.S., INC
- Practice address
- 500 S Jefferson Ave
Plain City, OH 43064-4137 - Phone
- (614) 733-0800
- NPI assigned
- Dec 11, 2009
- Organization subpart
- No
Authorized official
- Name
- Dr. Alisha Gray, D.D.S.
- Title
- Vice President
- Phone
- (614) 733-0800
Practitioners 1
-
Alisha Anderson Gray, D.D.S.
National Provider Directory
Locations
500 S Jefferson Ave
Plain City, OH 43064
Phone (614) 733-0800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | 30-021936 | OH | Yes |
Addresses
Primary practice location
500 S Jefferson Ave
Plain City, OH 43064-4137
Mailing address
500 S Jefferson Ave
Plain City, OH 43064-4137
Phone (614) 733-0800
Other names
- Smile Works Family Dentistry
Other providers in Plain City, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.