| Gray White & Allen DDS PA | |
|
1346 South Division St Ste 104 Salisbury MD 21804 | |
| (410) 749-0108 | |
| (410) 749-8392 |
| Full Name | Gray White & Allen DDS PA |
|---|---|
| Speciality | Dentist |
| Location | 1346 South Division St, Salisbury, Maryland |
| Authorized Official Name and Position | Elliott Jonathan Gray (PRESIDENT) |
| Authorized Official Contact | 4107490108 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gray White & Allen DDS PA 1346 South Division St Ste 104 Salisbury MD 21804 Ph: (410) 749-0108 | Gray White & Allen DDS PA 1346 South Division St Ste 104 Salisbury MD 21804 Ph: (410) 749-0108 |
| NPI Number | 1376617126 |
|---|---|
| Provider Enumeration Date | 11/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376617126 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 10353 (Maryland) | Secondary |
| 122300000X | Dentist | 4993 (Maryland) | Secondary |
| 122300000X | Dentist | 12030 (Maryland) | Primary |
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