Marion Hall Gray, D.M.D. Valid NPI

Individual provider · General Practice Dentistry · Macon, MS

NPI

1407060452

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

2339-87 (MS)

Sex

Male

Sole proprietor

Yes

Enumerated

2007-05-09

Last updated

2007-07-08