# RONALD L. GRAY DMD, PA

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

## Provider details

- **NPI number:** 1568517001
- **Authorized official:** DR. RONALD LLOYD GRAY DMD (OWNER, PRESIDENT)
- **Authorized official phone:** (864) 877-7239

## Contact information

- **Practice address:** 110 W CHURCH ST, GREER, SC 29650-1907
- **Practice address phone:** (864) 877-7239
- **Practice address fax:** (864) 879-2079
- **Mailing address:** 110 W CHURCH ST, GREER, SC 29650-1907
- **Mailing address phone:** (864) 877-7239
- **Mailing address fax:** (864) 879-2079

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 3692 | SC | Yes |

## Other

- **Enumeration date:** 01/24/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZX3692 | — | SC |
