OrganizationActive
Gray,yallaly & Black, D.D.S., Ltd.
NPI 1356555155 · General Practice Dentistry · Champaign, IL
Provider details
- NPI number
- 1356555155
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Dana Gray, President(217) 359-3112
- License
- 060003267 (IL)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 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
1717 Broadmoor Dr
Champaign, IL 61821-5933
Phone: (217) 356-9344
Fax: (217) 356-9375
Street-level locationGet directions
Mailing address
1717 Broadmoor Dr
Champaign, IL 61821-5933
Registry dates
- Enumerated
- 2007-05-10
- Last updated
- 2012-11-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.