DR. RANDI KENNEDY GRAY (NPI# 1841781002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841781002 |
| Entity Type | Individual |
| Full Name | DR. RANDI KENNEDY GRAY |
| Other Name | DR. RANDI KENNEDY GRAY |
| Credential | D.D.S. |
| Practice Address |
504 E Cherokee Ave Sallisaw OK 74955 |
| Mailing Address |
504 E Cherokee Ave Sallisaw OK 74955-4842 |
| Practice Telephone | 9187744369 |
| Mailing Telephone | 9187744369 |
| Mailing Fax Number | 9187760835 |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2018-08-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
7056 | OK | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639733520 | Randi Shuriee Gray | Counselor | 3740 E Southern Ave Ste 209, Mesa, AZ 85206-2512 | 2019-04-25 |
| Street Address |
504 E CHEROKEE AVE |
| City | SALLISAW |
| State | OK |
| Zip Code | 74955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619063781 | Ana Marie Dotson | Dentist | 504 E Cherokee Ave, Sallisaw, OK 74955-4842 | 2006-10-05 |
| 1346735594 | Randi Kennedy Gray, D.d.s., Pllc | Clinic/Center | 504 E Cherokee Ave, Sallisaw, OK 74955-4842 | 2018-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063057297 | Audrey A. Martin | Technician | 463508 East 1044 Road, Sallisaw, OK 74955 | 2019-11-12 |
| 1013472356 | Christopher Alan Bush | Registered Nurse | 301 Jt Stites, Sallisaw, OK 74955 | 2019-01-31 |
| 1174098941 | Sequoyah County Drug Company Pllc | Pharmacy | 1632 S Kerr Blvd, Sallisaw, OK 74955 | 2018-10-09 |
| 1720570609 | Stephanie Choate | Registered Nurse | 2703 E Phillips Ave, Sallisaw, OK 74955 | 2018-06-05 |
| 1972964666 | Sallisaw Family Medicine, L.L.C. | Family Medicine | 104 South Oak St, Sallisaw, OK 74955 | 2016-03-09 |
| 1407258544 | Mika Goff | Counselor | 301 So. Jt Stites, Sallisaw, OK 74955 | 2014-09-19 |
| 1013348200 | Alton Matlock | Counselor | 2101 Winter Park Drive, Apt/suite, Sallisaw, OK 74955 | 2013-12-12 |
| 1881931509 | Wildhorse Family Practice & Urgent Care | Clinic/Center | 1024 W Cherokee, Sallisaw, OK 74955 | 2013-01-15 |
| 1083966576 | Kayla Plank | Counselor | 204 E Choctaw, Sallisaw, OK 74955 | 2012-10-08 |
| 1427307503 | Brandi Jean Henry | Counselor | 205 S. J.t. Stites, Sallisaw, OK 74955 | 2012-09-05 |
| Find all providers in zip 74955 | ||||
| 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 |
|---|---|---|---|---|
| 1124293782 | Aubrey J Henshaw IIi | Dentist | 201 S Oak St, Sallisaw, OK 74955-6209 | 2008-04-24 |
| 1013034164 | R K Girlinghouse Dds Pa | Dentist | 1290 Mentzer Ave, Sallisaw, OK 74955-7282 | 2007-03-23 |
| 1619063781 | Ana Marie Dotson | Dentist | 504 E Cherokee Ave, Sallisaw, OK 74955-4842 | 2006-10-05 |
| 1053429613 | Robert Henry Wells Jr. | Dentist | 200 E Choctaw Ave, Sallisaw, OK 74955-4604 | 2006-08-25 |
| 1376562637 | Aubrey J Henshaw IIi | Dentist | 611 W Ruth Ave, Sallisaw, OK 74955-6866 | 2006-07-18 |
| 1871519751 | Dana Joyce Mccreight | Dentist | 502 W Cherokee Ave, Sallisaw, OK 74955-4212 | 2006-07-14 |
| 1669467270 | Parley Hubler Jr Dds PC | Dentist | 1506 W Chickasaw Ave, Sallisaw, OK 74955-7200 | 2005-09-20 |
| 1285636027 | Ronald K. Girlinghouse | Dentist | 1206 Brown Blvd, Sallisaw, OK 74955-7263 | 2005-08-11 |
| 1902115835 | Parley Melvin Hubler Jr. | Dentist | 611 W Ruth Ave, Sallisaw, OK 74955-6866 | 2010-09-27 |
| 1770691990 | Bwdentistry | Dentist | 200 E Choctaw Ave, Sallisaw, OK 74955-4604 | 2006-08-28 |
| Find all providers in SALLISAW | ||||
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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.