Provider Demographics
NPI:1669698999
Name:GREGORY G. GAY, D.D.S.
Entity type:Organization
Organization Name:GREGORY G. GAY, D.D.S.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:G
Authorized Official - Last Name:GAY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:804-275-1622
Mailing Address - Street 1:3900 MEADOWDALE BLVD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23234-5547
Mailing Address - Country:US
Mailing Address - Phone:804-275-1622
Mailing Address - Fax:804-275-5473
Practice Address - Street 1:3900 MEADOWDALE BLVD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23234-5547
Practice Address - Country:US
Practice Address - Phone:804-275-1622
Practice Address - Fax:804-275-5473
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA57671223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1700873759Other19
VA1235153339Other19