| Gray's Periodontal Center | |
|
1244 Perimeter Pkwy Ste 442 Virginia Beach VA 23454-5699 | |
| (757) 716-3539 | |
| (757) 716-3546 |
| Full Name | Gray's Periodontal Center |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1244 Perimeter Pkwy Ste 442, Virginia Beach, Virginia |
| Authorized Official Name and Position | Andrew Gray (CEO) |
| Authorized Official Contact | 7577163539 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gray's Periodontal Center 1244 Perimeter Pkwy Ste 442 Virginia Beach VA 23454-5699 Ph: (757) 716-3539 | Gray's Periodontal Center 1244 Perimeter Pkwy Ste 442 Virginia Beach VA 23454-5699 Ph: (757) 716-3539 |
| NPI Number | 1952054793 |
|---|---|
| Provider Enumeration Date | 02/01/2022 |
| Last Update Date | 02/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952054793 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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