Provider Demographics
NPI:1689892911
Name:GRAY AND HORNSTEIN, DDS INC
Entity Type:Organization
Organization Name:GRAY AND HORNSTEIN, DDS INC
Other - Org Name:CENTER FOR ADVANCED DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST-CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:P
Authorized Official - Last Name:HORNSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:216-595-1710
Mailing Address - Street 1:3690 ORANGE PL STE 180
Mailing Address - Street 2:
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-4438
Mailing Address - Country:US
Mailing Address - Phone:216-595-1710
Mailing Address - Fax:
Practice Address - Street 1:3690 ORANGE PL STE 180
Practice Address - Street 2:
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-4438
Practice Address - Country:US
Practice Address - Phone:216-595-1710
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty