NPI 1164451795

Sandra Gray, RDH

Practitioner Dental Hygienist Jackson, MS

Practice location

Address: 3502 W Northside Dr, Jackson, MS 39213-4454
Phone: (601) 362-5321
Fax: (601) 364-2600

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 1851-80DH (MS)

Other Dental Hygienist providers in Mississippi →

Registry record

NPI: 1164451795
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Jul 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.