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TANNER GRAY DMD
NPI 1114509080
Dentist - General Practice in Holloman Afb, NM

Active since April 21, 2021
49 MDG, 280 DAVID L. GOLDFEIN STREET, BLDG 20, HOLLOMAN AFB, NM 88330(575) 572-8099 Get Directions Write a Review

NPPES record last updated: September 18, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 18, 2025, Aug 24, 2023, Dec 23, 2021 and 1 more (4 updates tracked since 2021).

About Tanner Gray Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TANNER GRAY DMD (NPI 1114509080) is an individual general practice provider in Holloman Afb, New Mexico, licensed in Utah (12322243-9926) and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1114509080
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameTANNER GRAYCredential: DMD
Location Address49 MDG, 280 DAVID L. GOLDFEIN STREET, BLDG 20Holloman Afb, NM 88330
Mailing Address49 Mdg, 280 David L. Goldfein Street, Bldg 20Holloman Afb, NM 88330
Phone(575) 572-8099
Sole ProprietorNo
Enumeration DateApril 21, 2021
Last NPPES UpdateSeptember 18, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2025
✔ NPI 1114509080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in UT · 12322243-9926
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
49 MDG, 280 DAVID L. GOLDFEIN STREET, BLDG 20, Holloman Afb, NM 88330
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HELEN LIU DDS
Dentist
49 MDG, 280 DAVID L. GOLDFEIN STREET, BLDG 20
HOLLOMAN AFB, NM 88330
Otero County (575) 572-3742

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tanner Gray's NPI number?

The NPI number for Tanner Gray is 1114509080. It was assigned to this individual provider in the NPPES registry on April 21, 2021.

Where is Tanner Gray located?

Tanner Gray practices at 49 Mdg, 280 David L. Goldfein Street, Bldg 20, Holloman Afb, NM 88330. The listed phone number is (575) 572-8099.

What is Tanner Gray's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Tanner Gray accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Tanner Gray as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tanner Gray was last updated on September 18, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.