Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1659457885 Individual Practitioner Male Practitioner

Dr. Tyson N. Gray , DMD

Dentist - General Practice • Boise, ID

Professional Overview & Biography Verified Profile Summary

Dr. Tyson Gray, DMD is a registered healthcare professional specializing in Dentist - General Practice in Boise, ID. Practice services are available at 813 STILSON RD. SUITE B under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

813 Stilson Rd. Suite B
Millennium Family Dental Boise Llc

Boise, ID 83703

Telephone 2083424644
Fax 2088882094
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Boise, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 28.3 Yrs
Regional Practice Density
142 Specialists

Practicing in Boise, ID (781 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 ID D-3799

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

Medicaid State Provider ID
806871400 (ID)

Practice Associates & Co-Workers

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

8 Associated Practitioners
Dr. Brandon Pieper , DDS

Dentist - General Practice

NPI 1154577724

Doctor of Dental Surgery

Dr. Riley Adams , DDS

Dentist - General Practice

NPI 1205115235

Doctor of Dental Surgery

Dr. Delmar Gray , DDS

Dentist - General Practice

NPI 1346349230

Doctor of Dental Surgery

Dr. James Grant , DMD

Dentist - General Practice

NPI 1447345491

Doctor of Dental Medicine

Dr. Alexander Reimann , DDS

Dentist - General Practice

NPI 1578916029

Doctor of Dental Surgery

Dr. Randall Smith , DMD

Dentist - General Practice

NPI 1639264658

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 December 30, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location December 30, 2014

Registered at 813 STILSON RD. SUITE B, MILLENNIUM FAMILY DENTAL BOISE LLC, BOISE, ID 83703 (Tel: 2083424644)

📍
Updated Business Mailing Address December 30, 2014

Registered at 1848 MILLENIUM WAY, MERIDIAN, ID 836421510 (Tel: 2088882026)

👤
Provider Name / Credentials Updated December 30, 2014

Recorded as TYSON GRAY, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 30, 2014

Dentist (License #D-3799 in ID)

🟢
Initial NPI Registration & Enumeration October 31, 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: 1659457885
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 31, 2006
Last Update: December 30, 2014
Sole Proprietor: No

Mailing Address

1848 Millenium Way

Meridian, ID 836421510

Phone: 2088882026

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.