Robert M Gray, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN009345 Issued in GA

Practice address

2300 Henderson Mill Rd NE Ste 401
Atlanta, GA 30345-2704

Phone

(770) 938-3277

NPI assigned

Dec 12, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Northlake Dental Partners

  • General Practice Dentistry
  • Atlanta, GA
  • NPI 1336250406
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043371412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 HENDERSON MILL RD NE STE 401",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303452704",
            "telephone_number": "770-938-3277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 HENDERSON MILL RD NE STE 401",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303452704",
            "telephone_number": "770-938-3277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "ROBERT",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN009345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah Dickie Gray, NP
• Margaux Black Gray, MD
• Matthew Robert Gray, D.M.D.
• Mikaela Rose Gray, PA
• Rachel Gray, PA-C
• Russell Gray, L.P.C.
• Sara Gray, PAA
• Linda Arnice Grays, PH.D.
• Emily Kristine Grayson, MMS PA-C
• Lasha Grayson

• General Practice Dentistry in Atlanta, GA
• Providers in Atlanta, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.