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Dr. Jill Lavonne Gray, DDS
General Practice Dentistry in Marysville, Kansas
NPI 1326016908

Jill Lavonne Gray is a General Practice Dentistry based in Marysville, KS and is specialized in General Practice. Jill Lavonne Gray practices in Marysville, KS and has the professional credentials of DDS. The NPI Number for Jill Lavonne Gray is 1326016908 and holds a License No. KS 60212 (Kansas).

The current practice location address for Jill Lavonne Gray is 201 S 8Th St, Marysville, KS and can be reached out via phone at 785-562-5323 and via fax at 844-270-3105.

Location: 201 S 8Th St, Marysville, KS, 66508-1907
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326016908
Provider Name
Jill Lavonne Gray
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
201 S 8Th St, Marysville, KS, 66508-1907
Phone Number
785-562-5323
Fax Number
844-270-3105
Provider Enumeration Date
03/09/2006
Last Update Date
07/20/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00001747982 01 KS TRICARE
200328140A 05 KS
0000421758 01 KS BCBS
institution
Provider Business Practice Location Address Details
Address
201 S 8Th St
City
Marysville
State
Kansas
Zip
66508-1907
Phone Number
785-562-5323
Fax Number
844-270-3105
person
Provider Business Mailing Address Details
Address
201 S 8Th St
City
Marysville
State
Kansas
Zip
66508-1907
Phone Number
785-562-5323
Fax Number
844-270-3105
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
KS 60212 (Kansas)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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