Individual
DR. GREGORY D SEGRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
141
OK
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
30173
IA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
5930
OK
Other
Enumeration date
05/17/2007
Last updated
06/16/2026
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