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General NPI Number Information
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NPI Number | 1306700380
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Entity Type | Organization
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Legal Business Name | TIMOTHY R GRAY DDS PLLC
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Dates
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Enumeration Date | 12/12/2025
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 13106 SE 240TH ST STE 102
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City | KENT
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State | WA
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Zip | 98031-9211
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Country | US
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Telephone | 206-271-2678
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Fax | 206-271-2678
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Provider Business Mailing Address
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Address Line | 13106 SE 240TH ST STE 102
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City | KENT
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State | WA
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Zip | 98031-9211
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Country | US
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Telephone | 206-271-2678
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Fax | 206-271-2678
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. TIMOTHY ROSS GRAY
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Credential | DDS
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Telephone | 253-854-9890
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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