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John I. Gray, Iii, Psc
Oral and Maxillofacial Surgery (Dentist) in Winchester, Kentucky
NPI 1790763258

John I. Gray, Iii, Psc is a Oral and Maxillofacial Surgery (Dentist) based in Winchester, KY and is specialized in Oral and Maxillofacial Surgery. John I. Gray, Iii, Psc practices in Winchester, KY. The NPI Number for John I. Gray, Iii, Psc is 1790763258 and holds a License No. 4210 (Kentucky).

The current practice location address for John I. Gray, Iii, Psc is 1303 W Lexington Ave, Winchester, KY and can be reached out via phone at 859-744-0677 and via fax at 859-745-4466.

Location: 1303 W Lexington Ave, Winchester, KY, 40391-3100
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1790763258
Provider Name
John I. Gray, Iii, Psc
Credential
Provider Entity Type
Organization
Address
1303 W Lexington Ave, Winchester, KY, 40391-3100
Phone Number
859-744-0677
Fax Number
859-745-4466
Provider Enumeration Date
01/05/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
61941274 05 KY
64042104 05 KY
65911885 05 KY
60042108 05 KY
institution
Provider Business Practice Location Address Details
Address
1303 W Lexington Ave
City
Winchester
State
Kentucky
Zip
40391-3100
Phone Number
859-744-0677
Fax Number
859-745-4466
person
Provider Business Mailing Address Details
Address
1303 W Lexington Ave
City
Winchester
State
Kentucky
Zip
40391-3100
Phone Number
859-744-0677
Fax Number
859-745-4466
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
4210 (Kentucky)
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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