DR. Brandon P.l. Gray, D.D.S. is a general practice dentist in Chicago, IL. The provider is 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. DR. Brandon P.l. Gray, D.D.S. NPI is 1104112226. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
811 W WELLINGTON AVE
CHICAGO, IL
ZIP 60657-123
Phone: (773) 871-6138
The NPI 1104112226 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).
The enumeration date for this NPI number is 6/27/2011 and was last updated on 6/27/2011.