Individual provider · Type 1 NPI

Jesse Ryan Gray, DDS, MS

Orthodontics and Dentofacial Orthopedics Dentistry · Fayetteville, AR

NPI number 1598851156 Active

Practice location

3119 E Mission Blvd
Fayetteville, AR 72703-6617

Fax (479) 521-0442

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	3547 (AR)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1598851156

Jesse Ryan Gray, DDS, MS's National Provider Identifier is 1598851156, issued on Oct 4, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Fayetteville, AR. The record was last updated on Oct 14, 2021.