Jennifer Ellen Gray, DDS
Dentist · Chesterton, IN
Practice location
801 BroadwayChesterton, IN 46304-2230
- Phone
- (219) 763-8112
NPI record
- NPI
- 1811564859
- Entity type
- Individual (Type 1)
- Enumeration date
- June 8, 2021
- Last updated
- April 12, 2023
- Certified
- April 12, 2023
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X |
019033143 | IL |
Mailing address
6050 Sterling Creek RdPortage, IN 46368-7752
- Phone
- (219) 763-8112
About Dr. Gray
Jennifer Ellen Gray, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 801 Broadway, Chesterton, IN 46304-2230. The NPI number 1811564859 was assigned on June 8, 2021 and the record was last updated on April 12, 2023.
Dr. Gray lists a license in the registry: #019033143 (IL) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Jennifer Ellen Gray, DDS?
The NPI number is 1811564859.
What is the phone number of Dr. Gray?
The phone number listed for the practice location is (219) 763-8112.
Where is Dr. Gray located?
801 Broadway, Chesterton, IN 46304-2230.
What is the taxonomy code for Dr. Gray?
The primary taxonomy code is 122300000X – Dentist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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