| Ronald L. Gray Dmd, Pa | |
|
110 W Church St Greer SC 29650-1907 | |
| (864) 877-7239 | |
| (864) 879-2079 |
| Full Name | Ronald L. Gray Dmd, Pa |
|---|---|
| Speciality | Dentist |
| Location | 110 W Church St, Greer, South Carolina |
| Authorized Official Name and Position | Ronald Lloyd Gray (OWNER, PRESIDENT) |
| Authorized Official Contact | 8648777239 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ronald L. Gray Dmd, Pa 110 W Church St Greer SC 29650-1907 Ph: (864) 877-7239 | Ronald L. Gray Dmd, Pa 110 W Church St Greer SC 29650-1907 Ph: (864) 877-7239 |
| NPI Number | 1568517001 |
|---|---|
| Provider Enumeration Date | 01/24/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568517001 | NPI | - | NPPES |
| ZX3692 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3692 (South Carolina) | Primary |
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