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

GRAY,YALLALY & BLACK, D.D.S., LTD.

Active Organization

GRAY,YALLALY & BLACK, D.D.S., LTD. is a General Dentistry organization located in CHAMPAIGN, Illinois. NPI 1356555155 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · CHAMPAIGN, IL

Registration Details

NPI Number
1356555155
Provider Type
Organization
NPI Issued
May 10, 2007 (19.234634185558 yrs)
Last Updated
Nov 19, 2012
License
060003267 (IL)

Practice Information

Address
1717 BROADMOOR DR
CHAMPAIGN, IL, 618215933
Browse IL providers · Browse ZIP 61821
Phone
2173569344
Fax
2173569375
Primary Specialty
General Dentistry
1223G0001X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.