Provider Demographics
NPI:1841291952
Name:GRAYSON, DAVID N (DDS)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:N
Last Name:GRAYSON
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1020 LITTLETON RD
Mailing Address - Street 2:
Mailing Address - City:PARSIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07054-1725
Mailing Address - Country:US
Mailing Address - Phone:973-984-8020
Mailing Address - Fax:973-984-8021
Practice Address - Street 1:1020 LITTLETON RD
Practice Address - Street 2:
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07054-1725
Practice Address - Country:US
Practice Address - Phone:973-984-8020
Practice Address - Fax:973-984-8021
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI 116171223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice