| John I Gray Iii Psc | |
|
25 E High St Mt Sterling KY 40353-1267 | |
| (859) 498-6204 | |
| (859) 498-6205 |
| Full Name | John I Gray Iii Psc |
|---|---|
| Speciality | Dentist |
| Location | 25 E High St, Mt Sterling, Kentucky |
| Authorized Official Name and Position | John I Gray (PRESIDENT) |
| Authorized Official Contact | 8594986204 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John I Gray Iii Psc 25 E High St Mt Sterling KY 40353-1267 Ph: (859) 498-6204 | John I Gray Iii Psc 25 E High St Mt Sterling KY 40353-1267 Ph: (859) 498-6204 |
| NPI Number | 1184772774 |
|---|---|
| Provider Enumeration Date | 01/08/2007 |
| Last Update Date | 10/28/2022 |
| Medicare PECOS PAC ID | 5597664896 |
|---|---|
| Medicare Enrollment ID | O20040106000407 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184772774 | NPI | - | NPPES |
| 60038353 | Medicaid | KY | |
| 61941258 | Medicaid | KY | |
| 64180185 | Medicaid | KY | |
| 60002284 | Medicaid | KY | |
| 64942584 | Medicaid | KY | |
| 65911877 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 4210 (Kentucky) | Primary |
| Provider Name | John I Gray |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1043396963 PECOS PAC ID: 2567361868 Enrollment ID: I20051027000979 |
| Provider Name | Gilman P Peterson |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1871756924 PECOS PAC ID: 5890847388 Enrollment ID: I20090714000561 |
| Provider Name | Donald R Mclaurin |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1265518187 PECOS PAC ID: 9739228107 Enrollment ID: I20091124000175 |
| Provider Name | William Michael Sexton |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1366676603 PECOS PAC ID: 3870805906 Enrollment ID: I20150702001068 |
| Provider Name | Kelsey Denise Menegotto |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1932525136 PECOS PAC ID: 7113268459 Enrollment ID: I20220726001550 |
Mt Sterling Peds Dre Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 E High St Ste 2, Mt Sterling, KY 40353 Phone: 859-274-4434 | |
Business Title Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1107 C Indian Mound Drive, Suite C, Mt Sterling, KY 40353 Phone: 859-498-2356 Fax: 859-498-2413 | |
Gateway Dental Dre Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 Brandon Way Ste C, Mt Sterling, KY 40353 Phone: 859-497-2141 | |
Oral Surgery & Implant Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 E High St Ste 1, Mt Sterling, KY 40353 Phone: 859-498-6204 Fax: 859-498-6205 | |
Sterling Family Dental Care, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 E High St, Mt Sterling, KY 40353 Phone: 859-498-7130 Fax: 859-498-7138 | |
Arrow Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 E High St Ste 2, Mt Sterling, KY 40353 Phone: 859-274-4434 |