Elijah Jacob Grayson
Dental Assistant
7300 N Perimeter Rd
Malmstrom Afb
, Montana 59402-6701
Elijah Jacob Grayson
Dental Assistant
7300 N Perimeter Rd
Malmstrom Afb
, Montana 59402-6701
(406) 731-2511
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About
Features
Specialties
- Dental Assistant
Languages spoken
- English
Location
First Address
- Elijah Jacob Grayson
- 7300 N Perimeter Rd
- Malmstrom Afb, MT
- Zip : 59402-6701
- Phone : (406) 731-2511
Second Address
- Elijah Jacob Grayson
- 7300 N Perimeter Rd
- Malmstrom Afb, MT
- Zip : 59402-6701
- Phone : (406) 731-2511
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Is Elijah Jacob Grayson a sole practitioner?
Is Elijah Jacob Grayson accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 126800000X | Dental Assistant |
National Provider Identifier
| NPI | 1356917850 |
|---|---|
| Provider Name | Elijah Jacob Grayson |
| First Address | Malmstrom Afb, MT 59402-6701 |
| Second Address | Malmstrom Afb, MT 59402-6701 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/06/2021 |
| Last Update Date | 03/06/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.