Gray, Charles D
Gray, Charles D is an sole proprietor health care provider with primary practice located at 1123 Suffolk Dr , Janesville WI 53546-1608. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Gray, Charles D can be contacted via phone (608) 752-2665.Contact Information
Primary practice address
1123 Suffolk Dr
Janesville WI 53546-1608
Phone: (608) 752-2665
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 1001576 | Wisconsin |
Profile Details
| NPI number | 1356870463 |
|---|---|
| LBN Legal business name | Gray, Charles D |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 12th, 2017 |
| Last updated | Nov 19th, 2025 - about last year |
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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