MS. SANDRA GRAY (NPI# 1164451795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164451795 |
| Entity Type | Individual |
| Full Name | MS. SANDRA GRAY |
| Credential | RDH |
| Practice Address |
3502 W Northside Dr Jackson MS 39213-4454 |
| Practice Telephone | 6013625321 |
| Practice Fax Number | 6013642600 |
| Mailing Telephone | 6013625321 |
| Mailing Fax Number | 6013642600 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 1851-80DH | MS | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922156033 | Sandra L Gray | Specialist | 5880 S Jackson Rd, Jackson, MI 49201-8313 | 2007-01-08 |
| 1508873944 | Sandra Jean Gray | Social Worker | 112 E Myrtle Ave, Ste 408, Johnson City, TN 37601-8600 | 2006-08-01 |
| 1881164416 | Sandra Gray | Counselor | 212 E 1st St, Mc Cook, NE 69001-3712 | 2018-11-27 |
| 1306126305 | Sandra Gray | Counselor | 2340 Paseo Del Prado Ste D305, Las Vegas, Las Vegas, NV 89102-4342 | 2011-08-22 |
| 1699954933 | Sandra Gray | Speech-Language Pathologist | 7235 Whipple Ave Nw, North Canton, OH 44720-7137 | 2007-11-02 |
| 1285824326 | Sandra S Gray | Acupuncturist | 15 Union St, Milford, NH 03055-4875 | 2007-07-25 |
| 1043340078 | Sandra Gray | Registered Nurse | 4400 Breckenridge Ln, Louisville, KY 40218-4082 | 2007-03-07 |
| 1013050194 | Sandra S Gray | Psychologist | 8080 Ward Pkwy, 230, Kansas City, MO 64114-2034 | 2007-02-15 |
| 1205997608 | Sandra D Gray | Dentist | 444 William St, East Orange, NJ 07017-2213 | 2006-12-12 |
| Street Address |
3502 W NORTHSIDE DR |
| City | JACKSON |
| State | MS |
| Zip Code | 39213-4454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952386559 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 3502 W Northside Dr, Jackson, MS 39213-4454 | 2005-12-07 |
| 1689217812 | Ebony Martin | Case Manager/Care Coordinator | 3502 W Northside Dr, Jackson, MS 39213-4454 | 2019-10-21 |
| 1275189938 | April Terrain Perry | Nurse Practitioner | 3502 W Northside Dr, Jackson, MS 39213 | 2019-08-16 |
| 1013473891 | Ericia Latrice Cannon | Nurse Practitioner | 3502 W Northside Dr, Jackson, MS 39213-4454 | 2019-02-16 |
| 1578037172 | Jennifer Henley | Internal Medicine | 3502 W Northside Dr, Jackson, MS 39213-4454 | 2019-01-16 |
| 1003388968 | Tiffani Ricchele Mcknight | Social Worker | 3502 W Northside Dr, Jackson, MS 39213-4454 | 2018-12-17 |
| 1356810360 | Thrishanna Clark | Nurse Practitioner | 3502 W Northside Dr, Jackson, MS 39213-4454 | 2018-11-19 |
| 1376034660 | Sirna Musa | Nurse Practitioner | 3502 W Northside Dr, Jackson, MS 39213-4454 | 2018-05-23 |
| 1033649058 | Central Mississippi Civic Improvement Association, Inc. | Clinic/Center | 3502 W Northside Dr, Jackson, MS 39213-4454 | 2017-06-13 |
| 1013451780 | Katrice Pacley Andrews | Nurse Practitioner | 3502 W Northside Dr, Jackson, MS 39213-4454 | 2016-12-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679117980 | Cynthia Bailey | Technician | 916 Carnation Street, Jackson, MS 39213 | 2019-10-30 |
| 1871136374 | Shirley Collins Williams | Technician | 3132 Sage St, Jackson, MS 39213 | 2019-10-28 |
| 1275057069 | Nikita Patel | Pharmacist | 830 West Woodrow Wilson Avenue, Jackson, MS 39213 | 2017-08-02 |
| 1346782893 | Mississippi Smiles Dentistry LLC | Dentist | 310 W Woodrow Wilson Ave, 400, Jackson, MS 39213 | 2016-11-15 |
| 1730637521 | Ms Eyecare Associates of Jackson, Pllc. | Optometrist | 310 West Woodrow Wilson Avenue Suite 300, Jackson, MS 39213 | 2016-09-21 |
| 1518410778 | Assurance Home Health Services, LLC | Health Maintenance Organization | 1771 Hamilton Blvd., Jackson, MS 39213 | 2016-07-25 |
| 1831576180 | Dorothy Jeffries Anderson | Counselor | 350 Woodrow Wilson Ave, Jackson, MS 39213 | 2015-05-06 |
| 1740697275 | Sincere Home Care LLC. | Chore Provider | 5911 Holmes Ct, Jackson, MS 39213 | 2014-07-16 |
| 1629401088 | Deborah Diane Wright | Assisted Living Facility | 5911 Holmes Court, Jackson, MS 39213 | 2013-08-20 |
| 1245663251 | Methodist Home Road Living Center | Licensed Practical Nurse | 4560 Methodist Home Road, Jackson, MS 39213 | 2013-08-13 |
| Find all providers in zip 39213 | ||||
| Taxonomy Code | 124Q00000X |
| Grouping | Dental Providers |
| Classification | Dental Hygienist |
| An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053944686 | Elaine Christina Check | Dental Hygienist | 3510 Roosevelt Rd, Jackson, MI 49203-5263 | 2020-02-21 |
| 1699263707 | Linda Dixon | Dental Hygienist | 1408 N Highland Ave Ste 102, Jackson, TN 38301-3450 | 2018-04-24 |
| 1689126914 | Ryanne Gumbert | Dental Hygienist | 122 Highland Dr, Jackson, MI 49201-9164 | 2016-11-03 |
| 1619424397 | Amy Chmielewski | Dental Hygienist | 762 Woodlawn Ave, Jackson, MI 49203-2979 | 2016-09-09 |
| 1740657089 | Jennifer Sanderson | Dental Hygienist | 766 W Washington Ave, Jackson, MI 49201-2010 | 2015-08-21 |
| 1154721637 | Ali Cooper | Dental Hygienist | 268 Ackerson Lake Dr, Jackson, MI 49201-8755 | 2014-09-03 |
| 1457787905 | Jenna Constance Sheets | Dental Hygienist | 608 Sioux St, Jackson, MI 49203-5366 | 2013-09-16 |
| 1558793356 | Christina L Kasprzycki | Dental Hygienist | 137 Watts St, Jackson, MI 49203-2182 | 2013-08-02 |
| 1780910240 | Katherine Jones Holsworth | Dental Hygienist | 7040 Mckay Rd, Jackson, MI 49201-9261 | 2009-10-19 |
| 1366448565 | Gail Karen Lefsaker | Dental Hygienist | 12150 New York Ranch Road, Jackson Rancheria Health Complex, Jackson, CA 95642-9344 | 2005-06-22 |
| Find all providers in JACKSON | ||||
Please comment or provide details below to improve the information on MS. SANDRA GRAY.
| 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.