Individual
DAVID KEMP GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
920 W EMMA AVE, SPRINGDALE, AR 72764-4472
(479) 751-8780
(479) 751-0465
Mailing address
3853 OHARA TER, SPRINGDALE, AR 72762-7961
(479) 750-4023
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2510
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58577
BLUECROSS/BLUE SHIELD
AR
01
—
799894
UNITED CONCORDIA
—
Enumeration date
10/11/2006
Last updated
07/08/2007
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