Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JONATHAN RUSSELL GRAY, DDS
ActiveDR. JONATHAN RUSSELL GRAY, DDS is a Oral & Maxillofacial Surgery healthcare provider located in FARGO, North Dakota. NPI 1508048521 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · FARGO, ND
Registration Details
- NPI Number
- 1508048521
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 30, 2007 (18.659774192548 yrs)
- Last Updated
- Aug 19, 2011
- License
-
2096 (ND)
Practice Information
- Address
-
4344 20TH AVE SFARGO, ND, 581037436Browse ND providers · Browse ZIP 58103
- Phone
- 7012395969
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
Other Oral & Maxillofacial Surgery Providers in FARGO, ND
| Name | Credential | NPI |
|---|---|---|
| MICHAEL J NOFFZE | DDS | 1538147848 |
| PAUL H IVERSON | DDS | 1467487298 |
| SCOTT A PREISLER | DDS, MS | 1780761031 |
| CHARLES A CRAGO | DMD, MD | 1629147723 |
| RYAN J SMART | DMD | 1386849446 |
| DR. FRANK RUSSELL NEWMAN JR. | D.M.D. | 1548454085 |
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.