Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gray Derm PLLC

Organization Dermatology Physician · NPI 1104392679

Gray Derm PLLC is a Dermatology Physician in Lima, Ohio. Works from 3 locations. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

750 W High St Ste 300
Lima, OH 45801-2967
Phone: (419) 229-6781
Fax: (614) 386-9506
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 609 E Chestnut St, Lancaster, OH 43130-3900 — (740) 206-7131
  • 1005 Bellefontaine Ave Ste 300, Lima, OH 45804-2881 — (419) 998-8297

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X

Record details

NPI number1104392679
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bryan Gray — Do/Practice Owner · (614) 596-6789
Other names Gray Derm Llc; Gray Dermatology & Cosmetic Surgery
NPI enumeratedOctober 22, 2018
Last updated in NPPESFebruary 4, 2026
Certification dateFebruary 4, 2026
Mailing address750 W High St Ste 300, Lima, OH 45801-2967

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