National Provider Identifier

Ian Cameron Grayson, DDS, MMSC

Ian Cameron Grayson, DDS, MMSC is listed in the NPPES registry with a primary specialty of Endodontics in Cheektowaga, NY and a listed phone number of (716) 685-2233.

NPI 1194151571Cheektowaga, NYEndodontics

Profile Overview

NPI
1194151571
Provider Type
Individual
Primary Specialty
Endodontics
Enumeration Date
September 18, 2013
Last Updated
March 13, 2025

Practice Location

  • 1717 Walden Ave
  • Cheektowaga, NY 14225-4924

Phone: (716) 685-2233

Mailing Address

  • 43 Overbrook Place
  • Toronto, ON 343
  • CA

Specialties

  • Endodontics (1223E0200X)
  • Dentist (122300000X)
Full Record
NPI
1194151571
Entity Type
Individual
Last Name
Grayson
First Name
Ian
Middle Name
Cameron
Name Prefix
Dr.
Credential
DDS, MMSC
Mailing Street Address
43 Overbrook Place
Mailing City
Toronto
Mailing State
ON
Mailing ZIP Code
343
Mailing Country
CA
Practice Street Address
1717 Walden Ave
Practice City
Cheektowaga
Practice State
NY
Practice ZIP Code
14225-4924
Practice Country
US
Practice Phone
(716) 685-2233
Enumeration Date
September 18, 2013
Last Updated
March 13, 2025
Sex
Male
Sole Proprietor
Yes
Certification Date
March 13, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Endodontics (1223E0200X), Dentist (122300000X)