William Allen Gray, D.M.D. MD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

2012032854 Issued in MO

Practice address

9911 Kennerly Rd
Suite E
Saint Louis, MO 63128-2745

Phone

(314) 842-4699

Fax

(314) 842-3074

NPI assigned

May 24, 2007

Sex

Male

Sole proprietor

Yes

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)

Enrolled

Credentials

Doctor of Medicine

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.

• Oral and Maxillofacial Surgeons Inc

  • Oral and Maxillofacial Surgery (Dentist)
  • Creve Coeur, MO
  • NPI 1205946787
  NPD (past)
• Steven J. Hribernik, D.M.D., P.C.

  • Oral and Maxillofacial Surgery (Dentist)
  • Festus, MO
  • NPI 1366657405
  NPD (past)

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1205047933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9911 KENNERLY RD",
            "address_2": "SUITE E",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282745",
            "telephone_number": "314-842-4699",
            "fax_number": "314-842-3074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9911 KENNERLY RD",
            "address_2": "SUITE E",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282745",
            "telephone_number": "314-842-4699",
            "fax_number": "314-842-3074"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1155 E Gannon Dr",
            "address_purpose": "LOCATION",
            "city": "Festus",
            "state": "MO",
            "postal_code": "630282611",
            "country_code": "US",
            "telephone_number": "636-931-4699",
            "fax_number": "636-931-5110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "456 N New Ballas Rd Ste 249",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631416842",
            "country_code": "US",
            "telephone_number": "314-569-2201",
            "fax_number": "314-569-2320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAY",
        "first_name": "WILLIAM",
        "middle_name": "ALLEN",
        "credential": "D.M.D. MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MO",
            "license": "2012032854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Gray
• O. Danel Louis Gray, MSW, LCSW, DCSW
• Ragina Gray
• Robert E Gray, PA-C
• Sydelle Marra Gray, DPT
• Alexander E Graypel, M.D.
• Ernest Alexander Graypel, MD
• Karen Grayson, LPC
• Great Circle
• Great Circle

• Oral and Maxillofacial Surgery (Dentist) in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Oral and Maxillofacial Surgery (Dentist) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; 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.