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Myrna Menjivar Gray, DDS
NPI 1194812156 · General Practice Dentistry · Petaluma, CA
Myrna Menjivar Gray, DDS is a General Practice Dentistry provider in Petaluma, CA (NPI 1194812156).
Provider details
- NPI number
- 1194812156
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- License
- 30461 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
701 Sonoma Mountain Pkwy
Suite E 1
Petaluma, CA 94954-8518
Phone: (707) 782-0789
Fax: (707) 782-9133
Street-level locationGet directions
Mailing address
188 Stanford Ave
Mill Valley, CA 94941-3546
Registry dates
- Enumerated
- 2006-10-09
- Last updated
- 2007-07-08
Frequently asked questions
- What is Myrna Menjivar Gray's NPI number?
- Myrna Menjivar Gray's National Provider Identifier (NPI) is 1194812156, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Myrna Menjivar Gray's specialty?
- Myrna Menjivar Gray is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Myrna Menjivar Gray located?
- Myrna Menjivar Gray's practice location on file with NPPES is 701 Sonoma Mountain Pkwy, Petaluma, CA 94954-8518.
- What is Myrna Menjivar Gray's phone number?
- The practice phone number listed in the NPPES registry for Myrna Menjivar Gray is (707) 782-0789.
- Is Myrna Menjivar Gray's NPI active?
- Yes — Myrna Menjivar Gray's NPI (1194812156) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.