DR. EDWARD WYATT GRAY (NPI# 1811007677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811007677 |
| Entity Type | Individual |
| Full Name | DR. EDWARD WYATT GRAY |
| Credential | DDS |
| Practice Address |
1776 Grand Avenue San Diego CA 92109 |
| Practice Telephone | 8582707540 |
| Practice Fax Number | 8582703428 |
| Mailing Telephone | 8582707540 |
| Mailing Fax Number | 8582703428 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 31272 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DEPT OF CONSUMER AFFAIRS | DD031272 | 01 |
| CA | DEA | AG2171673 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679697163 | Edward M Gray | Counselor | 729 5th Ave, Helena, MT 59601-4361 | 2007-03-19 |
| 1073623047 | Edward John Gray | Dentist | 1516 Virginia Ranch Rd Ste 1a, Gardnerville, NV 89410-5764 | 2006-08-30 |
| 1265087894 | Edward Gray IIi | Chore Provider | 332 S Decatur Blvd, Las Vegas, NV 89107-2804 | 2019-08-09 |
| 1912411661 | Edward Alfred Gray | Counselor | 1000 Cherry Rd, Memphis, TN 38117-5424 | 2017-11-16 |
| 1811383706 | Edward C Gray | Student in an Organized Health Care Education/Training Program | Dogwood Ave Building 1 Room 249, East Tennessee State University Department of Surgery, Johnson City, TN 37614 | 2015-04-08 |
| 1649569039 | Edward Horace Gray | Counselor | 227 Thorn Ave, Orchard Park, NY 14127-2600 | 2011-04-06 |
| 1881877348 | Edward Gray | Occupational Therapist | 12040 S Jog Rd, Suite 8, Boynton Beach, FL 33437-4164 | 2007-12-06 |
| 1588843015 | Edward H. Gray | Internal Medicine | 325 W Germantown Pike Ste 301, East Norriton, PA 19403-4207 | 2007-11-01 |
| Street Address |
1776 GRAND AVENUE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538620786 | San Diego Forensic Psychology Corporation | Psychologist | 4640 Cass Street, # 90422, San Diego, CA 92109 | 2019-03-29 |
| 1982113874 | Holly Mansur | Registered Nurse | 3663 Jewell Street, San Diego, CA 92109 | 2017-09-24 |
| 1669906178 | Kelley Ann Riley | Prevention Professional | 4328 Gresham St, San Diego, CA 92109 | 2017-04-12 |
| 1689113524 | Tyler Marquis | Pharmacist | 2636 Grand Avenue Apartment 326, San Diego, CA 92109 | 2017-02-13 |
| 1912372574 | Lonnie Butler | Doula | 841 Turquoise Street, F-405, San Diego, CA 92109 | 2015-12-08 |
| 1275924995 | Pratima S. Gowdar, Dds, Inc | Dentist | 4655 Cass St. Ste 104, San Diego, CA 92109 | 2015-02-17 |
| 1417388562 | Pacific Rim Pathology Medical Corporation | Clinical Medical Laboratory | 3030 Bunker Hill Street, Suite 201, San Diego, CA 92109 | 2013-11-27 |
| 1023379997 | Eric Berquist | Student in an Organized Health Care Education/Training Program | 2009 Reed Ave, San Diego, CA 92109 | 2012-06-06 |
| 1982996724 | Miramar Health Physicians Group | Acupuncturist | 1321 Garnet Avenue, San Diego, CA 92109 | 2011-05-12 |
| 1902109325 | Anna N Amagou | Behavioral Analyst | 2221 Felspar Street Apt #c, San Diego, CA 92109 | 2010-12-07 |
| Find all providers in zip 92109 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265048409 | Sara Siraj | Dentist | 7720 Tyrolean Rd, San Diego, CA 92126-1029 | 2020-09-22 |
| 1639785306 | Brittany Jordan Noris | Dentist | 5830 Oberlin Dr Ste 201, San Diego, CA 92121-3754 | 2020-09-18 |
| 1437761475 | Pouya Parsa | Dentist | 12275 Carmel Vista Rd Unit 224, San Diego, CA 92130-2536 | 2020-08-20 |
| 1366060808 | Azadeh Khajavi | Dentist | 16516 Bernardo Center Dr Ste 210, San Diego, CA 92128-2551 | 2020-07-10 |
| 1871127456 | Sandhya Ramanujam | Dentist | 16466 Bernardo Center Dr Ste 185, San Diego, CA 92128-2522 | 2020-02-23 |
| 1396396164 | Khanh Nguyen | Dentist | 8605 Andromeda Rd, San Diego, CA 92126-1803 | 2019-09-24 |
| 1770133977 | Jeffrey Leland Elmer | Dentist | 2310 Craven St Unit 3210, San Diego, CA 92136-5596 | 2019-09-19 |
| 1609429273 | Navya Jampala | Dentist | 10891 Creekbridge Pl, San Diego, CA 92128-5108 | 2019-07-22 |
| 1619529229 | Calli Ann Marando | Dentist | 2310 Craven St # 3230, San Diego, CA 92136-5596 | 2019-07-13 |
| 1669024428 | Bolivia Pereira Hurtado | Dentist | 2303 92136, 2309 Doyle St, San Diego, CA 92136-0001 | 2019-07-11 |
| Find all providers in SAN DIEGO | ||||
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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.