# GRAY'S PERIODONTAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gray's Periodontal Center, PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952054793
- **Authorized official:** DR. ANDREW GRAY DDS (CEO)
- **Authorized official phone:** (757) 716-3539

## Contact information

- **Practice address:** 1244 PERIMETER PKWY STE 442, VIRGINIA BEACH, VA 23454-5699
- **Practice address phone:** (757) 716-3539
- **Practice address fax:** (757) 716-3546
- **Mailing address:** 1244 PERIMETER PKWY STE 442, VIRGINIA BEACH, VA 23454-5699
- **Mailing address phone:** (757) 716-3539
- **Mailing address fax:** (757) 716-3546

## Taxonomy

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

## Other

- **Enumeration date:** 02/01/2022
- **Last updated:** 02/01/2022