| James Douglas Gray, DDS DENTIST | |
|
636 Michigan Ave, Orofino, ID 83544-0872 | |
| (208) 476-4917 | |
| (208) 476-4071 |
| Full Name | James Douglas Gray |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 636 Michigan Ave, Orofino, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871506881 | NPI | - | NPPES |
| 40523 | Other | ID | REJENCE |
| 67835 | Other | ID | B CROSS |
| 001238000 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D1776 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| James Douglas Gray, DDS DENTIST Po Box 872, Orofino, ID 83544-0872 Ph: (208) 476-4917 | James Douglas Gray, DDS DENTIST 636 Michigan Ave, Orofino, ID 83544-0872 Ph: (208) 476-4917 |
Lynn Charles Wentz, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1265 Ahsahka Rd, Orofino, ID 83544 Phone: 208-476-4315 Fax: 208-476-4353 | |
Dr. Michael Burns Miller Jr., DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1265 Ahsahka Rd, Orofino, ID 83544 Phone: 208-476-4315 | |
Glenn Urban Richey, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 13826 Highway 12, Orofino, ID 83544 Phone: 208-476-4413 Fax: 208-476-4413 |