Gray, Jonathan Russell
Gray, Jonathan Russell is an individual health care provider with primary practice located at 4344 20Th Ave S , Fargo ND 58103-7436. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Gray, Jonathan Russell can be contacted via phone (701) 239-5969.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 2096 | North Dakota |
Profile Details
| NPI number | 1508048521 |
|---|---|
| LBN Legal business name | Gray, Jonathan Russell |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 30th, 2007 |
| Last updated | Aug 19th, 2011 - about 15 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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