Individual provider · Type 1 NPI

Tanner Gray, DMD

General Practice Dentistry · Holloman Afb, NM

NPI number 1114509080 Active

Practice location

49 Mdg, 280 David L. Goldfein Street, Bldg 20
Holloman Afb, NM 88330

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X12322243-9926 (UT)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1114509080

Tanner Gray, DMD's National Provider Identifier is 1114509080, issued on Apr 21, 2021. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Holloman Afb, NM. The record was last updated on Sep 18, 2025.