Active NPIIndividual provider

Sandra D Gray, DMD

Dentist in East Orange, New Jersey

NPI Number1205997608
Practice location
444 William St, East Orange, NJ 07017-2213
Fax
973-675-4021
Last updated
June 3, 2008

Sandra D Gray is a Dentist based in East Orange, NJ. Sandra D Gray practices in East Orange, NJ and has the professional credentials of DMD. The NPI Number for Sandra D Gray is 1205997608 and holds a License No. 22D101572500 (NJ). The current practice location address for Sandra D Gray is 444 William St, East Orange, NJ 07017-2213 and can be reached out via phone at 973-675-1900 and via fax at 973-675-4021.

Provider Profile Details

NPI Number
1205997608
Provider Name
Sandra D Gray
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
444 William St, East Orange, NJ 07017-2213
Phone Number
973-675-1900
Fax Number
973-675-4021
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Other Names
-- Sandra Phiilp-Rousseau (Other Name)
Provider Enumeration Date
December 12, 2006
Last Update Date
June 3, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
444 William St
East Orange, NJ 07017-2213
Zip
07017-2213
Phone Number
973-675-1900
Fax Number
973-675-4021
East Orange, NJ 07017Get directions →

Provider Business Mailing Address Details

Address
61 Parkside Dr
Belleville, NJ 07109-1602
City
Belleville
State
NJ
Zip
07109-1602

License Information

License Number
22D101572500
License State
NJ
Taxonomy
Dentist · 122300000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Sandra D Gray, DMD?

The NPI number of Sandra D Gray, DMD is 1205997608. It was assigned on December 12, 2006 and is currently active in the NPPES registry.

What is the specialty of Sandra D Gray, DMD?

Sandra D Gray, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in NJ under license number 22D101572500.

Where does Sandra D Gray, DMD practice?

The practice location is 444 William St, East Orange, NJ 07017-2213. The office can be reached at 973-675-1900 (phone) or 973-675-4021 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1205997608 directly on the NPPES registry website.

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