Search › Idaho › 111N00000X
Jon Gray, D.C
NPI 1558377168 · on the registry since 2006 · sole proprietor
Practice
- Address
- 13238 W Persimmon Ln Ste 102
Boise, ID 83713 - Phone
- (208) 854-0600
- Organisation at this address
- Atlantis Dental Care, P.A.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-09-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho