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RANDI KENNEDY GRAY, D.D.S., PLLC
NPI 1346735594
Clinic/Center - Dental in Sallisaw, OK

Active since June 28, 2018
504 E CHEROKEE AVE, SALLISAW, OK 74955(918) 776-0804 Get Directions Write a Review

NPPES record last updated: June 28, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Other Providers Same Location
  5. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Dental

About RANDI KENNEDY GRAY, D.D.S., PLLC

This page provides the complete NPI Profile along with additional information for Randi Kennedy Gray, D.d.s., Pllc, a provider established in Sallisaw, Oklahoma operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1346735594 assigned on June 2018. The practitioner's primary taxonomy code is 261QD0000X with license number 7056 (OK). The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Dr. Randi Kennedy Gray Dds (Dentist)

NPI
1346735594 Verify this NPI
Provider Name
RANDI KENNEDY GRAY, D.D.S., PLLC
Entity Type
Organization
Location Address
504 E CHEROKEE AVE SALLISAW, OK 74955
Location Phone
(918) 776-0804
Mailing Address
504 E CHEROKEE AVE SALLISAW, OK 74955
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-28-2018
Last Update Date
06-28-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities
License No.
7056
License State
OK

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. RANDI KENNEDY GRAY DDS

Authorized Official Title
DENTIST
Authorized Official Phone
(918) 774-4369

Reviews for RANDI KENNEDY GRAY, D.D.S., PLLC

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

ANA MARIE DOTSON D.D.S.
Dentist (General Practice)
504 E CHEROKEE AVE
SALLISAW, OK 74955
Sequoyah County (918) 776-0804
DR. RANDI KENNEDY GRAY D.D.S.
Dentist (General Practice)
504 E CHEROKEE AVE
SALLISAW, OK 74955
Sequoyah County (918) 774-4369

Frequently Asked Questions

What is RANDI KENNEDY GRAY, D.D.S., PLLC's NPI number?

The NPI number assigned to this healthcare provider is 1346735594, enumerated as an "organization" on June 28, 2018.

Where is the provider located?

The provider is located at 504 E CHEROKEE AVE SALLISAW, OK 74955 and the phone number is (918) 776-0804.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.