Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1760680664 Individual Practitioner Male Practitioner

Dr. Kendrick Doron Gray , DDS

Dentist • Phoenix, AZ

Professional Overview & Biography Verified Profile Summary

Dr. Kendrick Gray, DDS is a registered healthcare professional specializing in Dentist in Phoenix, AZ. Practice services are available at 1701 E THOMAS RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1701 E Thomas Rd
Suite 204

Phoenix, AZ 850167646

Telephone 6022536600
Associated Practice Facility / Clinic
🏢 Thomas Road Urgent Care Llc Facility NPI 1508808320

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.3 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
412 Specialists

Practicing in Phoenix, AZ (1999 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License AZ D5504

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
232643 (AZ)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1164620597

Doctor of Dental Surgery

NPI 1245644970

Doctor of Dental Medicine

Dr. Thien Nguyen , DDS

Dentist - Pediatric Dentistry

NPI 1275681868

Doctor of Dental Surgery

NPI 1326146986

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 06, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location November 06, 2012

Registered at 1701 E THOMAS RD, SUITE 204, PHOENIX, AZ 850167646 (Tel: 6022536600)

📍
Updated Business Mailing Address November 06, 2012

Registered at 1611 S 173RD DR, GOODYEAR, AZ 853381951 (Tel: 6238828348)

👤
Provider Name / Credentials Updated November 06, 2012

Recorded as KENDRICK GRAY, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 06, 2012

Dentist (License #D5504 in AZ)

🟢
Initial NPI Registration & Enumeration July 03, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1760680664
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 03, 2007
Last Update: November 06, 2012
Sole Proprietor: No

Mailing Address

1611 S 173rd Dr

Goodyear, AZ 853381951

Phone: 6238828348

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.