Individual provider · Type 1 NPI

Jonathan Russell Gray, DDS

Oral and Maxillofacial Surgery (Dentist) · Fargo, ND

NPI number 1508048521 Active

Practice location

4344 20th Ave S
Fargo, ND 58103-7436

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X2096 (ND)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

9 other providers at this address

Other oral and maxillofacial surgery (dentist) providers in Fargo

See all in Fargo →

About NPI 1508048521

Jonathan Russell Gray, DDS's National Provider Identifier is 1508048521, issued on Nov 30, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Fargo, ND. The record was last updated on Aug 19, 2011.