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Dr. Charles M Gray, DDS
Oral and Maxillofacial Surgery (Dentist) in College Station, Texas
NPI 1205829041

Charles M Gray is a Oral and Maxillofacial Surgery (Dentist) based in College Station, TX and is specialized in Oral and Maxillofacial Surgery. Charles M Gray practices in College Station, TX and has the professional credentials of DDS. The NPI Number for Charles M Gray is 1205829041 and holds a License No. 10404 (Texas).

The current practice location address for Charles M Gray is 1505 Emerald Plaza, College Station, TX and can be reached out via phone at 979-764-7101 and via fax at 979-764-7115.

Location: 1505 Emerald Plaza, College Station, TX, 77845-1501
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205829041
Provider Name
Charles M Gray
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1505 Emerald Plaza, College Station, TX, 77845-1501
Phone Number
979-764-7101
Fax Number
979-764-7115
Provider Enumeration Date
08/26/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
110873003 05 TX
813315 01 TX UNITED CONCORDIA
84V341 01 TX BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
1505 Emerald Plaza
City
College Station
State
Texas
Zip
77845-1501
Phone Number
979-764-7101
Fax Number
979-764-7115
person
Provider Business Mailing Address Details
Address
1505 Emerald Plaza
City
College Station
State
Texas
Zip
77845-1501
Phone Number
979-764-7101
Fax Number
979-764-7115
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
10404 (Texas)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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