MYRNA MENJIVAR GRAY DDS
NPI 1194812156
Dentist - General Practice in Petaluma, CA

Q: What is Myrna Menjivar Gray's NPI number?

The NPI number for Myrna Menjivar Gray is 1194812156. It was assigned to this individual provider in the NPPES registry on October 9, 2006.

Q: What is Myrna Menjivar Gray's specialty?

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

Active since October 09, 2006

701 SONOMA MOUNTAIN PKWY, SUITE E 1, PETALUMA, CA 94954(707) 782-0789(707) 782-9133 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Myrna Menjivar Gray Dds NPPES

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

MYRNA MENJIVAR GRAY DDS (NPI 1194812156) is an individual general practice provider in Petaluma, California, licensed in California (30461) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1194812156

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameMYRNA MENJIVAR GRAYCredential: DDS

Location Address701 SONOMA MOUNTAIN PKWY, SUITE E 1Petaluma, CA 94954-8518

Mailing Address188 Stanford AveMill Valley, CA 94941-3546 · (415) 389-9566 · Fax (415) 389-9563

Phone(707) 782-0789

Fax(707) 782-9133

Sole ProprietorNo

Enumeration DateOctober 9, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1194812156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 30461

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.

701 SONOMA MOUNTAIN PKWY, Petaluma, CA 94954

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Other Identifiers 1

Other30461CA · Dentist Licence

Other Providers at the Same Location NPPES 2

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

PETALUMA VALLEY DENTAL

Dentist (General Practice)

701 SONOMA MOUNTAIN PKWY, SUITE E 1
PETALUMA, CA 94954

Sonoma County (707) 782-0789

DINU A GRAY DDS

Dentist (General Practice)

701 SONOMA MOUNTAIN PKWY, SUITE E 1
PETALUMA, CA 94954

Sonoma County (707) 782-0789

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 Myrna Menjivar Gray's NPI number?

The NPI number for Myrna Menjivar Gray is 1194812156. It was assigned to this individual provider in the NPPES registry on October 9, 2006.

Where is Myrna Menjivar Gray located?

Myrna Menjivar Gray practices at 701 Sonoma Mountain Pkwy Suite E 1, Petaluma, CA 94954. The listed phone number is (707) 782-0789.

What is Myrna Menjivar Gray's specialty?

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

When was this NPI record last updated?

The NPPES record for Myrna Menjivar Gray was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.