Peter M Gray, DDS
Individual provider Active NPI General Practice Dentistry · Independence, MO
NPI 1861494585 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1861494585
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 13315 (MO)
- Practice address
- 1520 E 23Rd St S
Independence, MO 64055-1657 - Phone
- (816) 252-9190
- Fax
- (816) 252-9390
- NPI assigned
- Aug 12, 2005
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13315 | MO | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 13315 | MO | Yes |
Addresses
Primary practice location
1520 E 23Rd St S
Independence, MO 64055-1657
Mailing address
916 Hackney CT
Lees Summit, MO 64081-2303
Other providers in Independence, MO
- Sophie Granger
- Jennifer Ann Grant
- Gray Chiropractic, L.L.C
- James Christopher Gray
- Jane M Gray
- Shalaunda K Gray
- Eva Elizabeth Greco
- Bob E Green
- Chloe Green
- Katherine Green
All providers in Independence, MO · General Practice Dentistry in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.