| Ashley And Gray Dds | |
|
917 S Odell Ave Marshall MO 65340-2603 | |
| (660) 886-8170 | |
| Not Available |
| Full Name | Ashley And Gray Dds |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 917 S Odell Ave, Marshall, Missouri |
| Authorized Official Name and Position | Peter Gray (OWNER/PARTNER) |
| Authorized Official Contact | 6608868170 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ashley And Gray Dds 917 S Odell Ave Marshall MO 65340-2603 Ph: () - | Ashley And Gray Dds 917 S Odell Ave Marshall MO 65340-2603 Ph: (660) 886-8170 |
| NPI Number | 1386816189 |
|---|---|
| Provider Enumeration Date | 04/01/2008 |
| Last Update Date | 08/12/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386816189 | NPI | - | NPPES |
| 401201108 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 13315 (Missouri) | Primary |
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