DR. DDS Larry Michael Gray, NPI 1174691539
General Practice Dentistry in Savannah, GA, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1174691539 |
| NPI Entity Type | Individual |
| Provider Name | DR. DDS Larry Michael Gray |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 6602 Abercorn St, Suite 101, Savannah, GA, US |
| Provider Mailing Address | 811 Dancy Ave, Savannah, GA, US, 314193007 |
| Is Sole Proprietor? | Yes |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | General Practice Dentistry |
| Classification | |
| Group | |
| License No. | DN012251 |
| License State | GA |
| Description | A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 106887719A | GA | MEDICAID | 05 |
| 412276887 | GA | TAX ID | 01 |
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