Gray Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2980 Issued in AR

Legal business name

GRAY FAMILY DENTISTRY

Practice address

2206 Fowler Ave
Jonesboro, AR 72401-6115

Phone

(870) 933-8444

Fax

(870) 933-9078

NPI assigned

Apr 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Andrew A Gray, DDSNPI 1942425954

Title

Owner

Phone

(870) 933-8444

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrew A. Gray, DDS

  • General Practice Dentistry
  • Jonesboro, AR
  • NPI 1942425954
  NPD (past) Authorized official

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073738019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2206 FOWLER AVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724016115",
            "telephone_number": "870-933-8444",
            "fax_number": "870-933-9078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2206 FOWLER AVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724016115",
            "telephone_number": "870-933-8444",
            "fax_number": "870-933-9078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAY FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-933-8444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "2980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR. BCBS",
            "identifier": "58550",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "831344",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Quincie Grant, MSE CCC-SLP
• Daniel C Grantham, DPT
• Felicia Graves
• Karson Jay Graves, RN
• Korey Graves, QBHP
• Amanda Gray
• Andrew A. Gray, DDS
• Angelica Reina Gray, LCSW
• Barbara Frances Gray, APRN
• Billie Gray, LPN

• General Practice Dentistry in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.