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

James T Gray, DDS

Individual provider General Practice Dentistry · NPI 1164659918

James T Gray, DDS is an Oral Surgery in East Peoria, Illinois. Graduated from University of Iowa College of Dentistry in 1989, 37 years ago. Accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
37
Trained at
University of Iowa College of Dentistry
Licensed in
IL
In the registry since
2009
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

2404 E Washington St
East Peoria, IL 61611-1859
Phone: (309) 699-5521
Fax: (309) 699-7050
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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 019-021753 (IL)

Record details

NPI number1164659918
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJune 19, 2009
Last updated in NPPESJune 19, 2009
Mailing address2404 E Washington St, East Peoria, IL 61611-1859

Medicare enrollment

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

Medicare specialtyORAL SURGERY
Medical schoolUNIVERSITY OF IOWA COLLEGE OF DENTISTRY
Graduated 1989 (37 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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