DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JAY DOUGLAS GRAVER, DMD

Active

DR. JAY DOUGLAS GRAVER, DMD is a Pediatric Dentistry healthcare provider located in JBSA-LACKLAND, Texas. NPI 1356327639 is currently active in the NPPES registry. Verify at CMS.

Pediatric Dentistry · JBSA-LACKLAND, TX

Registration Details

NPI Number
1356327639
Provider Type
Individual
Gender
Male
NPI Issued
Dec 19, 2005 (20.678504725448 yrs)
Last Updated
Aug 5, 2019
License
DS025182L (PA)

Practice Information

Address
1100 WILFORD HALL LOOP, BLDG 4554, ATTN: 59 MDW/SGHC
POC: MS DARLON JACKSON
JBSA-LACKLAND, TX, 782569908
Browse TX providers · Browse ZIP 78256
Phone
2102926225
Primary Specialty
Pediatric Dentistry
1223P0700X

Other Pediatric Dentistry Providers in JBSA-LACKLAND, TX

Name Credential NPI
DR. STEVEN EDWARD HANDEL JR. DMD 1710235031
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.