# TIMOTHY R GRAY DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306700380
- **Authorized official:** DR. TIMOTHY ROSS GRAY DDS (DENTIST/OWNER)
- **Authorized official phone:** (253) 854-9890

## Contact information

- **Practice address:** 13106 SE 240TH ST STE 102, KENT, WA 98031-9211
- **Practice address phone:** (206) 271-2678
- **Practice address fax:** (206) 271-2678
- **Mailing address:** 13106 SE 240TH ST STE 102, KENT, WA 98031-9211
- **Mailing address phone:** (206) 271-2678
- **Mailing address fax:** (206) 271-2678

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/12/2025
- **Last updated:** 12/12/2025