DR. Jonathan Russell Gray, DDS is an oral and maxillofacial surgery dentist in Fargo, ND with 17 years of experience. 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. DR. Jonathan Russell Gray, DDS NPI is 1508048521. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduation Year:2007
The provider's business location address is:
4344 20TH AVE S
FARGO, ND
ZIP 58103-436
Phone: (701) 239-5969
The NPI 1508048521 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 11/30/2007 and was last updated on 8/19/2011.