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Active NPI 1174624209 Individual Practitioner Male Practitioner

Dr. Jeffrey Clyde Gray , DDS

Dentist - General Practice • La Mesa, CA

Professional Overview & Biography Verified Profile Summary

Dr. Jeffrey Gray, DDS is a registered healthcare professional specializing in Dentist - General Practice in La Mesa, CA. Practice services are available at 8555 FLETCHER PKWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

8555 Fletcher Pkwy
Suite 102

La Mesa, CA 919423060

Telephone 6193377700
Fax 6193377710

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in La Mesa, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 3.0 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
73 Specialists

Practicing in La Mesa, CA (18734 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 - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 34613

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID License
34613 (CA)

Practice Associates & Co-Workers

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

2 Associated Practitioners
NPI 1275816506

Doctor of Dental Surgery

Dr. John Zermeno , DDS

Dentist - General Practice

NPI 1518379122

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 30, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location September 30, 2010

Registered at 8555 FLETCHER PKWY, SUITE 102, LA MESA, CA 919423060 (Tel: 6193377700)

📍
Updated Business Mailing Address September 30, 2010

Registered at 16520 DARTOLO RD, RAMONA, CA 920654666 (Tel: 7677880750)

👤
Provider Name / Credentials Updated September 30, 2010

Recorded as JEFFREY GRAY, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 30, 2010

Dentist (License #34613 in CA)

🟢
Initial NPI Registration & Enumeration September 25, 2006

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: 1174624209
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 25, 2006
Last Update: September 30, 2010
Sole Proprietor: Yes

Mailing Address

16520 Dartolo Rd

Ramona, CA 920654666

Phone: 7677880750

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.