Organization
GRAY DENTAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GLENN JOSEPH GRAY D.D.S. (PRESIDENT)
(610) 668-8877
Entity
Organization
Contact information
Practice address
219 HAMPDEN AVE, NARBERTH, PA 19072-1909
(610) 668-8877
(610) 668-1620
Mailing address
219 HAMPDEN AVE, NARBERTH, PA 19072-1909
(610) 668-8877
(610) 668-1620
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
816632
UNITED CONCORDIA
PA
Enumeration date
10/25/2006
Last updated
08/22/2020
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