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

Gray, Yallaly & Black, DDS, Ltd

Organization General Practice Dentistry · NPI 1356555155

Gray, Yallaly & Black, DDS, Ltd is a General Practice Dentistry in Champaign, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1717 Broadmoor Dr
Champaign, IL 61821-5933
Phone: (217) 356-9344
Fax: (217) 356-9375
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 060003267 (IL)

Record details

NPI number1356555155
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dana Gray — President · (217) 359-3112
NPI enumeratedMay 10, 2007
Last updated in NPPESNovember 19, 2012
Mailing address1717 Broadmoor Dr, Champaign, IL 61821-5933

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