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GRAY,YALLALY & BLACK, D.D.S., LTD.
NPI 1356555155
Dentist - General Practice in Champaign, IL

Active since May 10, 2007
1717 BROADMOOR DR, CHAMPAIGN, IL 61821(217) 356-9344(217) 356-9375 Get Directions Write a Review

NPPES record last updated: November 19, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gray,yallaly & Black, D.d.s., Ltd. NPPES

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

GRAY,YALLALY & BLACK, D.D.S., LTD. (NPI 1356555155) is a healthcare organization registered as a general practice in Champaign, Illinois and active in the NPI registry since May 2007. The organization lists Dana C. Gray, President, as its authorized official.

NPPES Registry Identity

NPI1356555155
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameGRAY,YALLALY & BLACK, D.D.S., LTD.
Location Address1717 BROADMOOR DRChampaign, IL 61821-5933
Mailing Address1717 Broadmoor DrChampaign, IL 61821-5933 · (217) 356-9344 · Fax (217) 356-9375
Phone(217) 356-9344
Fax(217) 356-9375
Organization SubpartNo
Authorized OfficialDana C. GrayPresident · (217) 359-3112
Enumeration DateMay 10, 2007
Last NPPES UpdateNovember 19, 2012
✔ NPI 1356555155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IL · 060003267
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.
1717 BROADMOOR DR, Champaign, IL 61821
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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

Other Providers at the Same Location NPPES 3

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

DR. MARK JAMES BLACK DDS
Dentist
1717 BROADMOOR DR
CHAMPAIGN, IL 61821
Champaign County (217) 359-1541
DR. MARTHA MARGARET YALLALY D.M.D.
Dentist
1717 BROADMOOR DR
CHAMPAIGN, IL 61821
Champaign County (217) 359-5771
DANA GRAY DDS
Dentist
1717 BROADMOOR DR
CHAMPAIGN, IL 61821
Champaign County (217) 359-3112

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 Gray,yallaly & Black, D.D.S., Ltd.'s NPI number?

The NPI number for Gray,yallaly & Black, D.D.S., Ltd. is 1356555155. It was assigned to this organization in the NPPES registry on May 10, 2007.

Where is Gray,yallaly & Black, D.D.S., Ltd. located?

Gray,yallaly & Black, D.D.S., Ltd. is located at 1717 Broadmoor Dr, Champaign, IL 61821. The listed phone number is (217) 356-9344.

What is Gray,yallaly & Black, D.D.S., Ltd.'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 Gray,yallaly & Black, D.D.S., Ltd. was last updated on November 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.