Active NPIIndividual provider

Dr. Jordan A Gray, DDS

Dentist in Rutland, Vermont

NPI Number1548613086
Practice location
69 Allen St Ste 10, Rutland, VT 05701-4564
Fax
—
Last updated
September 2, 2024

Jordan Ashley Gray is a Dentist based in Rutland, VT. Jordan Ashley Gray practices in Rutland, VT and has the professional credentials of DDS. The NPI Number for Jordan Ashley Gray is 1548613086 and holds a License No. DEN1001795 (DC). The current practice location address for Jordan Ashley Gray is 69 Allen St Ste 10, Rutland, VT 05701-4564 and can be reached out via phone at 802-855-5468.

Provider Profile Details

NPI Number
1548613086
Provider Name
Jordan Ashley Gray
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
69 Allen St Ste 10, Rutland, VT 05701-4564
Phone Number
802-855-5468
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
July 20, 2016
Last Update Date
September 2, 2024
Certification Date
September 2, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
69 Allen St Ste 10
Rutland, VT 05701-4564
State
Vermont
Zip
05701-4564
Phone Number
802-855-5468
Rutland, VT 05701Get directions →

Provider Business Mailing Address Details

Address
6710 Oxon Hill RD Ste 170
Oxon Hill, MD 20745-1123
City
Oxon Hill
State
MD
Zip
20745-1123
Phone Number
301-686-0710

License Information

License Number (1)
DEN1001795
License State (1)
DC
Taxonomy (1)
Dentist · 122300000X
License Number (2)
16601
License State (2)
MD
Taxonomy (2)
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 Dr. Jordan A Gray, DDS?

The NPI number of Dr. Jordan A Gray, DDS is 1548613086. It was assigned on July 20, 2016 and is currently active in the NPPES registry.

What is the specialty of Dr. Jordan A Gray, DDS?

Dr. Jordan A Gray, DDS is registered under the primary taxonomy Dentist (code 122300000X), licensed in DC under license number DEN1001795.

Where does Dr. Jordan A Gray, DDS practice?

The practice location is 69 Allen St Ste 10, Rutland, VT 05701-4564. The office can be reached at 802-855-5468 (phone).

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 1548613086 directly on the NPPES registry website.

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