Gray, Dana

Gray, Dana is an individual health care provider with primary practice located at 1717 Broadmoor Dr , Champaign IL 61821-5933. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Gray, Dana can be contacted via phone (217) 359-3112.

Contact Information

Primary practice address
1717 Broadmoor Dr Champaign IL 61821-5933
Phone: (217) 359-3112
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 019019633 Illinois

Profile Details

NPI number 1891039590
LBN Legal business name Gray, Dana
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2012
Last updated Nov 19th, 2012 - about 14 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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