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WILLIAM A. GRAY D.M.D. LLC NPI 1336365956


NPI Information

NPI: 1336365956
Provider Name: WILLIAM A. GRAY, D.M.D., LLC

Doing Business As: ST. LOUIS SOUTH ORAL SURGERY

Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
9911 KENNERLY RD
SUITE E
SAINT LOUIS, MO
ZIP 63128
Phone: (314) 842-4699
Get Directions

WILLIAM A. GRAY, D.M.D., LLC is an oral and maxillofacial surgery dentist in Saint Louis, MO. The provider is an oral and maxillofacial surgery dentist specialized in 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. WILLIAM A. GRAY, D.M.D., LLC NPI is 1336365956. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As St. Louis South Oral Surgery.

The provider's business location address is:

9911 KENNERLY RD
SUITE E
SAINT LOUIS, MO
ZIP 63128-700
Phone: (314) 842-4699
Fax: (314) 842-3074

The provider's authorized official is Dana M Poppe .
The authorized official title is Practice Administrator and has the following contact phone number (314) 842-4699.

The enumeration date for this NPI number is 4/18/2007 and was last updated on 6/30/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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