Organization · Type 2 NPI

Gray,yallaly & Black, D.d.s., Ltd.

General Practice Dentistry · Champaign, IL

NPI number 1356555155 Active

Practice location

1717 Broadmoor Dr
Champaign, IL 61821-5933

Call (217) 356-9344 Map

Fax (217) 356-9375

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X060003267 (IL)

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.

3 other providers at this address

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About NPI 1356555155

Gray,yallaly & Black, D.d.s., Ltd.'s National Provider Identifier is 1356555155, issued on May 10, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Champaign, IL. The record was last updated on Nov 19, 2012.