Grayling Dental PC
Organization Active NPI Dentist · Grayling, MI
NPI 1992873780 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1992873780
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- License
- 29010 13182 (MI)
- Legal business name
- GRAYLING DENTAL PC
- Practice address
- 604 Galen Street
Grayling Dental PC
Grayling, MI 49738 - Phone
- (989) 348-4521
- Fax
- (989) 344-2322
- NPI assigned
- Dec 1, 2006
- Organization subpart
- No
Authorized official
- Name
- John Rex Moriarity, DDS
- Title
- Owner
- Phone
- (989) 348-4521
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | 29010 13182 | MI | Yes |
Addresses
Primary practice location
604 Galen Street
Grayling Dental PC
Grayling, MI 49738
Mailing address
Box 606 604 Galen Street
Grayling, MI 49738
Phone (989) 348-4521
Other providers in Grayling, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. 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.