Mark A. Gray, D.M.D.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DN012369 Issued in GA

Practice address

2257 Main St E
Snellville, GA 30078-3499

Phone

(770) 972-2800

Fax

(770) 972-9255

NPI assigned

Apr 1, 2009

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1306088752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2257 MAIN STREET EAST",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "30078",
            "telephone_number": "770-972-2800",
            "fax_number": "770-972-9255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2257 MAIN ST E",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300783499",
            "telephone_number": "770-972-2800",
            "fax_number": "770-972-9255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "803 E Spring St",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "GA",
            "postal_code": "306552494",
            "country_code": "US",
            "telephone_number": "770-267-7712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAY",
        "first_name": "MARK",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-01",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "GA",
            "license": "DN012369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gravante Chiropractic & Nutrition Inc.
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• Patricia Theresa Gray-Smith, NURSE PRACTITIONER
• Geneva Marie Gray, PHD, LPC, NCC, CPCS
• Karen Nguyen Gray, PA-C
• Melissa Marie Gray, PMHNP
• Grayson Family Care
• Greater Gwinnett Internal Medicine Associates LLC
• Greater Gwinnett Physician Practice Company
• Greater Path Counseling

• Orthodontics and Dentofacial Orthopedics Dentistry in Snellville, GA
• Providers in Snellville, GA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.