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

JESSE R GRAY DDS PA

Active Organization

JESSE R GRAY DDS PA is a Orthodontics organization located in FAYETTEVILLE, Arkansas. NPI 1578001616 is currently active in the NPPES registry. Verify at CMS.

Orthodontics · FAYETTEVILLE, AR

Registration Details

NPI Number
1578001616
Provider Type
Organization
NPI Issued
Feb 9, 2017 (9.5391563868846 yrs)
Last Updated
Feb 9, 2017
License
3427 (AR)

Practice Information

Address
3119 E MISSION BLVD
FAYETTEVILLE, AR, 727036617
Browse AR providers · Browse ZIP 72703
Phone
4795214181
Fax
4795210442
Primary Specialty
Orthodontics
1223X0400X

Other Orthodontics Organizations in FAYETTEVILLE, AR

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.