| Gray Station Dental Pllc | |
|
100 Chapel St Gray TN 37615-3050 | |
| (423) 926-5000 | |
| Not Available |
| Full Name | Gray Station Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 100 Chapel St, Gray, Tennessee |
| Authorized Official Name and Position | Richard Anthony Turner (PRESIDENT) |
| Authorized Official Contact | 6064240338 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gray Station Dental Pllc 100 Chapel St Gray TN 37615-3050 Ph: (423) 926-5000 | Gray Station Dental Pllc 100 Chapel St Gray TN 37615-3050 Ph: (423) 926-5000 |
| NPI Number | 1598969560 |
|---|---|
| Provider Enumeration Date | 06/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598969560 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 8500 (Tennessee) | Primary |