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Deactivated NPI 1043399132 Deactivated / Inactive NPI Male Practitioner

Dr. Gerald D Gray , DDS, PC

Dentist - Endodontics • Crystal Lake, IL

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Gerald Gray has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 02, 2006
NPI Deactivation Date December 20, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Gerald Gray, DDS, PC was a registered Dentist - Endodontics practicing in Crystal Lake, IL. Throughout an active medical career spanning 17 years, Dr. Gray provided care at the practice location at 610 CRYSTAL POINT DR until profile deactivation on 2023-12-20.

Practice Location & Contact Primary Location

Practice Address

610 Crystal Point Dr
Suite 6

Crystal Lake, IL 600141401

Telephone 8154559155
Fax 8154553603

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Endodontics in Crystal Lake, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Crystal Lake, IL (222 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 - Endodontics Primary Specialty

NUCC Taxonomy Code: 1223E0200X

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

Practice Associates & Co-Workers

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

2 Associated Practitioners
Shira Greenfield , LCPC

Counselor - Professional

NPI 1356340665

Licensed Clinical Professional Counselor

Dr. David Kwon , DDS

Dentist - General Practice

NPI 1982793493

Doctor of Dental Surgery

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated December 20, 2023

Record deactivated on December 20, 2023

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 610 CRYSTAL POINT DR, SUITE 6, CRYSTAL LAKE, IL 600141401 (Tel: 8154559155)

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Updated Business Mailing Address July 08, 2007

Registered at 610 CRYSTAL POINT DR, SUITE 6, CRYSTAL LAKE, IL 600141401 (Tel: 8154559155)

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Provider Name / Credentials Updated July 08, 2007

Recorded as GERALD GRAY, D.D.S.,P.C.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist

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Initial NPI Registration & Enumeration November 02, 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: 1043399132
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 02, 2006
Last Update: July 08, 2007
Deactivation Date: December 20, 2023

Mailing Address

610 Crystal Point Dr, Suite 6

Crystal Lake, IL 600141401

Phone: 8154559155

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.