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John I. Gray, III, Psc

Dentist, Oral and Maxillofacial Surgery in Winchester, KY. Organization (NPI-2).

NPI number1790763258
StatusActive
Last updated in NPPESNov 22, 2022

Details

NPI
1790763258
Entity type
Organization (NPI-2)
Legal business name
John I. Gray, III, Psc
Organization subpart
No
Enumeration date
Jan 5, 2006
Certification date
Nov 22, 2022
Last updated
Nov 22, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223S0112X Dentist, Oral and Maxillofacial Surgery4210KYYes

Practice location

1303 W Lexington Ave
Winchester, KY 40391-3100

Phone 859-744-0677 · Fax 859-745-4466

Mailing address

1303 W Lexington Ave
Winchester, KY 40391-3100

Phone 859-744-0677 · Fax 859-745-4466

Authorized official

John I Gray
Owner
8597440677

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