Organization Active NPI

Gray Dental Inc.

  • General Practice Dentistry
  • Narberth, PA
National Provider Identifier
1558445213
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GRAY DENTAL INC.
Practice address
219 Hampden Ave
Narberth, PA 19072-1909
Phone
(610) 668-8877
Fax
(610) 668-1620
NPI assigned
Oct 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Glenn Joseph Gray, D.D.S.NPI 1740364231
Title
President
Phone
(610) 668-8877

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

219 Hampden Ave
Narberth, PA 19072-1909

Mailing address

219 Hampden Ave
Narberth, PA 19072-1909
Phone (610) 668-8877

Other identifiers 1

IdentifierTypeStateIssuer
816632OtherPAUNITED CONCORDIA

National Provider Directory

National Provider Directory

Locations

219 Hampden Ave
Narberth, PA 19072
Phone (610) 668-8877

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558445213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 HAMPDEN AVE",
            "city": "NARBERTH",
            "state": "PA",
            "postal_code": "190721909",
            "telephone_number": "610-668-8877",
            "fax_number": "610-668-1620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 HAMPDEN AVE",
            "city": "NARBERTH",
            "state": "PA",
            "postal_code": "190721909",
            "telephone_number": "610-668-8877",
            "fax_number": "610-668-1620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAY DENTAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-668-8877",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "816632",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Narberth, PA

Sources for this page

  • 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.