John I Gray III PSC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

4210 Issued in KY

Legal business name

JOHN I GRAY III PSC

Practice address

25 E High St
Mt Sterling, KY 40353-1267

Phone

(859) 498-6204

Fax

(859) 498-6205

NPI assigned

Jan 8, 2007

Last updated

Oct 28, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John I Gray III, DMDNPI 1043396963

Title

President

Phone

(859) 498-6204

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John I Gray III, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Mt Sterling, KY
  • NPI 1043396963
  Authorized official Same address or phone

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666915200000",
    "number": "1184772774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 E HIGH ST",
            "city": "MT STERLING",
            "state": "KY",
            "postal_code": "403531267",
            "telephone_number": "859-498-6204",
            "fax_number": "859-498-6205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 E HIGH ST",
            "city": "MT STERLING",
            "state": "KY",
            "postal_code": "403531267",
            "telephone_number": "859-498-6204",
            "fax_number": "859-498-6205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN I GRAY III PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "859-498-6204",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "KY",
            "license": "4210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward T Jacobs, OPTOMETRIST
• Jennifer Lynn James
• Latonya Jarman
• Vivian Jeffries
• Kristeena Jenkins
• Anne Marie Johnson
• Ashley Elizabeth Johnson, APRN
• Jon Kelly Johnson, DMD
• Kennetha Doreen Johnson, RN
• Margaret B Johnson, LPCC

• Oral and Maxillofacial Surgery (Dentist) in Mt Sterling, KY
• Providers in Mt Sterling, KY by specialty
• Oral and Maxillofacial Surgery (Dentist) in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; 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.