Individual provider · Type 1 NPI

Brett C. Gray, DMD MD

Oral and Maxillofacial Surgery (Dentist) · Conyers, GA

NPI number 1619085362 Active

Practice location

1463 Klondike Road, Suite C
Conyers, GA 30094

Call (770) 483-9692 Map

Fax (678) 487-1004

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X047755 (GA)
Oral and Maxillofacial Surgery (Dentist) 1223S0112X7235 (KY)

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.

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About NPI 1619085362

Brett C. Gray, DMD MD's National Provider Identifier is 1619085362, issued on Aug 25, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Conyers, GA. The record was last updated on Jul 8, 2007.