Individual
DR. JESSE LANE GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S, MD
Contact information
Practice address
2530 N 8TH ST STE 103, GRAND JUNCTION, CO 81501-8856
(970) 245-2222
Mailing address
2530 N 8TH ST STE 103, GRAND JUNCTION, CO 81501-8856
(970) 245-2222
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
00206199
CO
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
13505
MT
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
1474
WY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
6939
NE
Other
Enumeration date
06/30/2011
Last updated
05/28/2025
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