Dr Jordan Ashley Gray, DDS | |
6710 Oxon Hill Rd Ste 170, Oxon Hill, MD 20745-1123 | |
(301) 686-0710 | |
Not Available |
Full Name | Dr Jordan Ashley Gray |
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Gender | Female |
Speciality | Dentist |
Location | 6710 Oxon Hill Rd Ste 170, Oxon Hill, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548613086 | NPI | - | NPPES |
013323059 | Medicaid | DC | |
680020300 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DEN1001795 (District Of Columbia) | Secondary |
122300000X | Dentist | 16601 (Maryland) | Primary |
Entity Name | Community Health Centers Of The Rutland Region Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437364759 PECOS PAC ID: 2961467386 Enrollment ID: O20191011001136 |
Mailing Address | Practice Location Address |
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Dr Jordan Ashley Gray, DDS 6710 Oxon Hill Rd Ste 170, Oxon Hill, MD 20745-1123 Ph: (301) 686-0710 | Dr Jordan Ashley Gray, DDS 6710 Oxon Hill Rd Ste 170, Oxon Hill, MD 20745-1123 Ph: (301) 686-0710 |
Dr. Elizabeth Sharpe Morris, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6188 Oxon Hill Rd, Suite 406, Oxon Hill, MD 20745 Phone: 301-839-6330 Fax: 301-839-6753 | |
Dr. Jeannette E Suh, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 30 Audrey Ln, Suite A, Oxon Hill, MD 20745 Phone: 301-567-5437 Fax: 301-567-5456 | |
Dr. Mitra Hedayeti Vahdani, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6188 Oxon Hill Rd, 2nd Floor, Oxon Hill, MD 20745 Phone: 301-567-3122 Fax: 301-567-5234 | |
Dr. Marleen E Williamson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6196 Oxon Hill Rd, Ste 390, Oxon Hill, MD 20745 Phone: 301-839-0495 | |
Shwetha Kyatham, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6188 Oxon Hill Rd, 2nd Floor, Oxon Hill, MD 20745 Phone: 301-567-3122 Fax: 301-567-5234 | |
Dr. Paul K. Piontkowski, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 6420 Bock Rd, Oxon Hill, MD 20745 Phone: 301-839-0055 Fax: 301-747-2350 | |
John Bushrod, Dentist Medicare: Not Enrolled in Medicare Practice Location: 6710 Oxon Hill Rd Ste 170, Oxon Hill, MD 20745 Phone: 301-686-0710 |