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Contact Information

TAMMA L JOHNSON GRAY, DDS
3508 GROOM RD
BAKER, LA70714-3508
 Phone: 225-774-3934
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
 

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for TAMMA L JOHNSON GRAY · (Female)

NPI Number 1013079839
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 12/15/2006
Last updated 04/08/2015 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • LA License # 6435
  • TN License # 8170
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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