Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1053429845 Deactivated / Inactive NPI Male Practitioner

Dr. Charles Gibson Gray , DDS

Dentist - General Practice • Indianapolis, IN

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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. Charles Gray has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 29, 2006
NPI Deactivation Date December 20, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Charles Gray, DDS was a registered Dentist - General Practice practicing in Indianapolis, IN. Throughout an active medical career spanning 17 years, Dr. Gray provided care at the practice location at 3838 N RURAL ST until profile deactivation on 2023-12-20.

Practice Location & Contact Primary Location

Practice Address

3838 N Rural St

Indianapolis, IN 462052930

Telephone 3172212306
Fax 3172212336
Associated Practice Facility / Clinic
🏢 Health & Hospital Corporation Facility NPI 1982713525

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Indianapolis, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.0 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
420 Specialists

Practicing in Indianapolis, IN (2204 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 IN 12006943A

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.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Cynthia Mcwilliams , RN

Registered Nurse

NPI 1003928474

Registered Nurse

Darcy Milner , LCSW

Social Worker - Clinical

NPI 1033203526

Licensed Clinical Social Worker

Lanis Wilson , RN

Registered Nurse

NPI 1033204482

Registered Nurse

NPI 1063670545

Registered Nurse

Laura Wykes , RN

Registered Nurse

NPI 1083716005

Registered Nurse

NPI 1083821995

Licensed Social Worker

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 3838 N RURAL ST, INDIANAPOLIS, IN 462052930 (Tel: 3172212306)

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Updated Business Mailing Address July 08, 2007

Registered at 788 N STATE ROAD 46, TERRE HAUTE, IN 478032039 (Tel: 8128779215)

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Provider Name / Credentials Updated July 08, 2007

Recorded as CHARLES GRAY, DDS

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

Dentist (License #12006943A in IN)

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Initial NPI Registration & Enumeration August 29, 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: 1053429845
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 29, 2006
Last Update: July 08, 2007
Deactivation Date: December 20, 2023

Mailing Address

788 N State Road 46

Terre Haute, IN 478032039

Phone: 8128779215

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.