DR. JEFFREY CLYDE GRAY (NPI# 1174624209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174624209 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY CLYDE GRAY |
| Credential | D.D.S. |
| Practice Address |
8555 Fletcher Pkwy Suite 102 La Mesa CA 91942-3060 |
| Mailing Address |
16520 Dartolo Rd Ramona CA 92065-4666 |
| Practice Telephone | 6193377700 |
| Practice Fax Number | 6193377710 |
| Mailing Telephone | 7677880750 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2010-09-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
34613 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LICENSE | 34613 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093271066 | Jeffrey Gray | In Home Supportive Care | 1325 E T O Blvd Ste 201, Thousand Oaks, CA 91362-2837 | 2019-02-14 |
| 1275792590 | Jeffrey Alan Gray | Pharmacist | 303 Woodbriar Dr, Johnson City, TN 37604-1165 | 2008-06-02 |
| 1649341827 | Jeffrey James Gray | Psychologist | 2254 Nw West Hills Ave, Bend, OR 97701-1047 | 2006-11-10 |
| 1962592162 | Jeffrey R Gray | Chiropractor | 1221 East Main, Riverton, WY 82501 | 2006-10-16 |
| 1366551970 | Jeffrey Wayne Gray | Specialist | 1450 Bellemeade Ave, Evansville, IN 47714-2062 | 2006-08-29 |
| 1780623058 | Jeffrey J Gray | Physician Assistant | 1 Harvest View Way, Carver, MA 02330-2004 | 2006-06-05 |
| 1326606013 | Jeffrey Gray | Counselor | 835 W Main St, Rochester, NY 14611-2335 | 2019-05-29 |
| 1497165377 | Jeffrey Wayne Gray | Marriage & Family Therapist | 1763 State Route 60, 114, Ashland, OH 44805-8707 | 2014-05-01 |
| 1033478748 | Jeffrey Thomas Gray | Psychiatry & Neurology | 560 Cohasset Rd Ste 175, Chico, CA 95926-2212 | 2012-05-15 |
| 1316959182 | Jeffrey F. Gray | Dentist | 155 Meadow St, Naugatuck, CT 06770-4003 | 2006-08-12 |
| Street Address |
8555 FLETCHER PKWY SUITE 102 |
| City | LA MESA |
| State | CA |
| Zip Code | 91942-3060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518379122 | John Paul Zermeno | Dentist | 8555 Fletcher Pkwy, #102, La Mesa, CA 91942-3060 | 2014-05-30 |
| 1275816506 | Landon Libby | Dentist | 8555 Fletcher Pkwy, Suite 102, La Mesa, CA 91942-3060 | 2011-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902453723 | Nicole V Zappelli | Case Manager/Care Coordinator | 4990 William Ave., La Mesa, CA 91942 | 2019-08-26 |
| 1770059834 | Natalie Ngoc Nguyen | Physician Assistant | 5555 Grosmont Center Dr., La Mesa, CA 91942 | 2018-10-16 |
| 1194204297 | Courtney Pietsch | Nurse Practitioner | 8851 Health Center Circle, Suite #603, La Mesa, CA 91942 | 2018-08-09 |
| 1295214773 | Megan Gordon | Behavior Technician | 6116 Horton Dr, La Mesa, CA 91942 | 2018-08-07 |
| 1356836548 | Kimberly Denise Davis | Counselor | 3845 Avocado School Road, El Cajon, CA 91942 | 2018-06-29 |
| 1366932113 | Melanie Joyce Shepard | Physician Assistant | 7051 Alvarado Road, Suite 201, La Mesa, CA 91942 | 2018-05-17 |
| 1871013532 | Low Dental, A.p.c. | Public Health or Welfare | 7872 La Mesa Blvd., La Mesa, CA 91942 | 2017-06-23 |
| 1275069437 | Ardel Ayala | Respiratory Therapist, Registered | 5800 Lake Murray Blvd. Unit 15, La Mesa, CA 91942 | 2017-05-10 |
| 1285007583 | Counseling & Behavioral Specialists | Marriage & Family Therapist | 5520 Wellesley Street, Ste 204, La Mesa, CA 91942 | 2015-11-09 |
| 1285001875 | Emily Shozaki Rizo | Nurse Practitioner | 6285 Meadowcrest Drive, La Mesa, CA 91942 | 2015-08-31 |
| Find all providers in zip 91942 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871103119 | Ronda Alpatty | Dentist | 10948 Fury Ln, La Mesa, CA 91941-7320 | 2020-08-02 |
| 1427696673 | Wendy Corina Herrera | Dentist | 8881 Fletcher Pkwy Ste 220, La Mesa, CA 91942-3195 | 2019-12-18 |
| 1801442306 | Abraham Yagudaev | Dentist | 5420 Lake Murray Blvd, La Mesa, CA 91942-1561 | 2019-08-12 |
| 1245885102 | Kristin Marie Wehrle | Dentist | 8425 Grant Ave, La Mesa, CA 91941-5303 | 2019-08-07 |
| 1396128658 | Cheryl Tran Dds Inc. | Dentist | 3767 Avocado Blvd, La Mesa, CA 91941-7301 | 2015-07-06 |
| 1720470479 | Sherin C. Johnson, D.d.s., Inc. | Dentist | 5208 Jackson Dr Ste 108, La Mesa, CA 91942-7902 | 2015-03-04 |
| 1841688850 | Dalloul and Altamimi Dental Corp | Dentist | 7557 El Cajon Blvd Ste B, La Mesa, CA 91942-7823 | 2014-12-26 |
| 1649565557 | Jerry Hernandez | Dentist | 7484 University Ave, Ste. 150, La Mesa, CA 91942-6063 | 2011-06-20 |
| 1386862217 | Amable Michael Mauad | Dentist | 5103 Garfield St, La Mesa, CA 91941-5103 | 2007-04-24 |
| 1831314624 | Pear William Karlsgodt | Dentist | 8419 La Mesa Blvd, Suite A, La Mesa, CA 91941-5381 | 2007-04-16 |
| Find all providers in LA MESA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.