Dr. Willis Chancy Gray , DDS
Dentist - General Practice • Bellevue, NE
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. Willis Gray has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Willis Gray, DDS was a registered Dentist - General Practice practicing in Bellevue, NE. Throughout an active medical career spanning 13 years, Dr. Gray provided care at the practice location at 124 BELLEVUE BLVD S until profile deactivation on 2018-03-02.
Practice Location & Contact Primary Location
124 Bellevue Blvd S
Bellevue, NE 680052441
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Bellevue, NE
Practicing in Bellevue, NE (832 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on March 02, 2018
NPI status registered as active in NPPES database
Registered at 124 BELLEVUE BLVD S, BELLEVUE, NE 680052441 (Tel: 4022921966)
Registered at 124 BELLEVUE BLVD S, BELLEVUE, NE 680052441 (Tel: 4022921966)
Recorded as WILLIS GRAY, D.D.S.
Dentist (License #3232 in NE)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
124 Bellevue Blvd S
Bellevue, NE 680052441
Phone: 4022921966
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