# GRATEFUL DENTAL PLLC

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

## Provider details

- **NPI number:** 1699643361
- **Authorized official:** DR. JOSHUA GRAY DMD (OWNER)
- **Authorized official phone:** (606) 864-7816

## Contact information

- **Practice address:** 1675 S MAIN STREET, SUITE 3, LONDON, KY 40741-2050
- **Practice address phone:** (606) 864-7816
- **Practice address fax:** (606) 864-7816
- **Mailing address:** 1675 S MAIN ST STE 3, LONDON, KY 40741-2050
- **Mailing address phone:** (606) 864-7816
- **Mailing address fax:** (606) 864-7816

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 10/24/2025
- **Last updated:** 10/24/2025