1700379666 NPI number — DR. PRESTON FORD GRAY DDS

Table of content: DR. PRESTON FORD GRAY DDS (NPI 1700379666)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1700379666 NPI number — DR. PRESTON FORD GRAY DDS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GRAY
Provider First Name:
PRESTON
Provider Middle Name:
FORD
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DDS
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1700379666
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/14/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4918 WESTERHAM ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FULSHEAR
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77441-4008
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
281-610-1861
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9125 WEST RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77064-8623
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-597-8302
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/14/2018

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 122300000X , with the licence number:  34212 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)