Individual
DR. JORDAN ASHLEY GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
69 ALLEN ST STE 10, RUTLAND, VT 05701-4564
(802) 855-5468
Mailing address
6710 OXON HILL RD STE 170, OXON HILL, MD 20745-1123
(301) 686-0710
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
16601
MD
122300000X
Dentist
DEN1001795
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013323059
—
DC
05
—
680020300
—
MD
Enumeration date
07/20/2016
Last updated
09/02/2024
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