Gray, Brent Wayne

Gray, Brent Wayne is an individual health care provider with primary practice located at 1445 N 400 E Ste 2 , Logan UT 84341-7564. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Gray, Brent Wayne can be contacted via phone (435) 752-4136.

Contact Information

Primary practice address
1445 N 400 E Ste 2 Logan UT 84341-7564
Fax: (435) 752-5177
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 276161-9922 Utah

Profile Details

NPI number 1699988790
LBN Legal business name Gray, Brent Wayne
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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