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

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1508048521

Dr. Jonathan Russell Gray, DDS is an Oral Surgery in Fargo, North Dakota. Graduated from University of Southern California Keck School of Medicine in 2007, 19 years ago. Practices with Face and Jaw Surgeons PC, a 7-clinician group and accepts Medicare assignment. Licensed in North Dakota.

Years since qualifying
19
Trained at
University of Southern California Keck School of Medicine
Licensed in
ND
In the registry since
2007
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

4344 20th Ave S
Fargo, ND 58103-7436
Phone: (701) 239-5969
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 2096 (ND)

Record details

NPI number1508048521
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedNovember 30, 2007
Last updated in NPPESAugust 19, 2011
Mailing address4344 20th Ave S, Fargo, ND 58103-7436

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORAL SURGERY
Also practisesMAXILLOFACIAL SURGERY
Medical schoolUNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice Face And Jaw Surgeons Pc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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