Gray, Trevor Karl

Gray, Trevor Karl is an individual health care provider with primary practice located at 1840 Harper , Beckley WV 25801-3366. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Gray, Trevor Karl can be contacted via phone (304) 255-0558.

Contact Information

Primary practice address
1840 Harper Beckley WV 25801-3366
Phone: (304) 255-0558
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 2272 West Virginia

Profile Details

NPI number 1225199615
LBN Legal business name Gray, Trevor Karl
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 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 1225199615 NPPES
West Virginia MEDICAID 0135190000

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