Gray, David Kemp

Gray, David Kemp is an individual health care provider with primary practice located at 920 W Emma Ave , Springdale AR 72764-4472. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Gray, David Kemp can be contacted via phone (479) 751-8780.

Contact Information

Primary practice address
920 W Emma Ave Springdale AR 72764-4472
Phone: (479) 751-8780
Fax: (479) 751-0465
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2510 Arkansas

Profile Details

NPI number 1033207030
LBN Legal business name Gray, David Kemp
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
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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Identifiers

StateTypeNumberIssuer
All States NPI 1033207030 NPPES
Other 799894 UNITED CONCORDIA
Other 58577 UNITED CONCORDIA

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