Tyson Gray, DMD

NPI 1659457885 · on the registry since 2006

Practice

Address: 813 Stilson Rd. Suite B
Millennium Family Dental Boise Llc
Boise, ID 83703
Phone: (208) 342-4644
Fax: (208) 888-2094
Organisation at this address: Richard E. Ferguson D.D.S.,M.S. Pa
Millennium Family Dental - Boise Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2014-12-30

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