Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
DR. JESSE LANE GRAY
Active
Individual
DR. JESSE LANE GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S, MD
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
00206199
CO
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
13505
MT
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
1474
WY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
6939
NE
Other
Enumeration date
06/30/2011
Last updated
05/28/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers