Doctor Name: | DR. JORDAN HOLT GRAY |
NPI Number: | 1073607404 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 5360 |
Business Practice Address: | 5751 Pocahontas Rd Ste A Suite 5 Bessemer, AL - 350225478 |
Business Phone Number: | 2054774242 |
Business Fax Number: | 2054774243 |
Mailing Address: | 5751 Pocahontas Road, Suite A BESSEMER |
State: | AL |
Postal Code: | 350225478 |
Phone Number: | 2054774242 |
Fax Number: | |
NPI Enumeration Date: | 10/02/2006 |
NPI Last Update Date: | 05/11/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0700X |
License Number: | 5360 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Prosthodontics |
Taxonomy Definition: | That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |