ST. LOUIS SOUTH ORAL SURGERY
NPI 1336365956
Dentist - Oral and Maxillofacial Surgery in Saint Louis, MO

Active since April 18, 2007
9911 KENNERLY RD, SUITE E, SAINT LOUIS, MO 63128(314) 842-4699(314) 842-3074 Get Directions Write a Review

NPPES record last updated: June 30, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About St. Louis South Oral Surgery NPPES

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

ST. LOUIS SOUTH ORAL SURGERY (NPI 1336365956) is a healthcare organization registered as an oral and maxillofacial surgery in Saint Louis, Missouri and active in the NPI registry since April 2007. The organization maintains 2 additional practice locations and lists Dana M Poppe, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1336365956
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameWILLIAM A. GRAY, D.M.D., LLC
Location Address9911 KENNERLY RD, SUITE ESaint Louis, MO 63128-2700
Mailing Address9911 Kennerly Rd, Suite ESaint Louis, MO 63128-2700 · (314) 842-4699 · Fax (314) 842-3074
Fax(314) 842-3074
Organization SubpartNo
Authorized OfficialDana M PoppePractice Administrator · (314) 842-4699
Enumeration DateApril 18, 2007
Last NPPES UpdateJune 30, 2023
NPPES CertifiedJune 30, 2023
NPI 1336365956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

9911 KENNERLY RD, Saint Louis, MO 63128

Other Names 1

Doing Business AsSt. Louis South Oral Surgery

Secondary Practice Locations 2

Location 11155 E Gannon DrFestus, MO 63028-2611 · Phone (636) 931-4699 · Fax (636) 931-5110
Location 2456 N New Ballas Rd Ste 249Saint Louis, MO 63141-6842 · Phone (314) 569-2201 · Fax (314) 569-2320

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 8

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

Ophthalmology
9911 KENNERLY RD
SAINT LOUIS, MO 63128
Dentist (Oral and Maxillofacial Surgery)
9911 KENNERLY RD, STE. E
SAINT LOUIS, MO 63128
Technician/Technologist (Optician)
9911 KENNERLY RD
SAINT LOUIS, MO 63128
Optometrist
9911 KENNERLY RD, SUITE A
SAINT LOUIS, MO 63128
Dentist
9911 KENNERLY RD, SUITE G
ST LOUIS, MO 63128
Ophthalmology
9911 KENNERLY RD, SUITE A
SAINT LOUIS, MO 63128
Dentist (Oral and Maxillofacial Surgery)
9911 KENNERLY RD, SUITE E
SAINT LOUIS, MO 63128
Ophthalmology
9911 KENNERLY RD
SAINT LOUIS, MO 63128

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 William A. Gray, D.M.D., LLC's NPI number?

The NPI number for William A. Gray, D.M.D., LLC is 1336365956. It was assigned to this organization in the NPPES registry on April 18, 2007.

Where is William A. Gray, D.M.D., LLC located?

William A. Gray, D.M.D., LLC is located at 9911 Kennerly Rd Suite E, Saint Louis, MO 63128. The listed phone number is (314) 842-4699.

What is William A. Gray, D.M.D., LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

What insurance does William A. Gray, D.M.D., LLC accept?

Health plans from DentaQuest Insurance Company-MO list William A. Gray, D.M.D., LLC 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 William A. Gray, D.M.D., LLC was last updated on June 30, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.