Organization
GRAY FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW A GRAY DDS (OWNER)
(870) 933-8444
Entity
Organization
Contact information
Practice address
2206 FOWLER AVE, JONESBORO, AR 72401-6115
(870) 933-8444
(870) 933-9078
Mailing address
2206 FOWLER AVE, JONESBORO, AR 72401-6115
(870) 933-8444
(870) 933-9078
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2980
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58550
AR. BCBS
AR
01
—
831344
UNITED CONCORDIA
AR
Enumeration date
04/16/2007
Last updated
08/22/2020
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