IndividualActive
Brett Gray, DMD MD
NPI 1619085362 · Oral and Maxillofacial Surgery (Dentist) · Conyers, GA
Provider details
- NPI number
- 1619085362
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- DMD MD
- Sex
- Male
- Sole proprietor
- No
- License
- 047755 (GA)
Practice location
1463 Klondike Road
Suite C
Conyers, GA 30094
Phone: (770) 483-9692
Fax: (678) 487-1004
Mailing address
1463 Klondike Road
Conyers, GA 30094
Registry dates
- Enumerated
- 2006-08-25
- Last updated
- 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.