Myrna Menjivar Gray, DDS - Dentist in Petaluma, CA

Myrna Menjivar Gray, DDS is a Dentist - General Practice based in Petaluma, California. Myrna Menjivar Gray is licensed to practice in California (license number 30461) and her current practice location is 701 Sonoma Mountain Pkwy, Suite E 1, Petaluma, California. She can be reached at her office (for appointments etc.) via phone at (707) 782-0789.

NPI number for Myrna Menjivar Gray is 1194812156 and her current mailing address is 188 Stanford Ave, Mill Valley, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1194812156.

Contact Information

Myrna Menjivar Gray, DDS
701 Sonoma Mountain Pkwy, Suite E 1,
Petaluma, CA 94954-8518
(707) 782-0789
(707) 782-9133



Healthcare Provider's Profile

Full NameMyrna Menjivar Gray
GenderFemale
SpecialityDentist - General Practice
Location701 Sonoma Mountain Pkwy, Petaluma, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1194812156
  • Provider Enumeration Date: 10/09/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Myrna Menjivar Gray such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194812156NPI-NPPES
30461OtherCADENTIST LICENCE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 30461 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Myrna Menjivar Gray is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Myrna Menjivar Gray, DDS
188 Stanford Ave,
Mill Valley, CA 94941-3546

Ph: (415) 389-9566
Myrna Menjivar Gray, DDS
701 Sonoma Mountain Pkwy, Suite E 1,
Petaluma, CA 94954-8518

Ph: (707) 782-0789

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Dentist in Petaluma, CA

Dr. Michael David Zatto, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1400 Professional Dr, Suite 101, Petaluma, CA 94954
Phone: 707-765-9630    Fax: 707-765-9630
Dr. Thomas Vincent Dembski, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1430 E Washington St, Petaluma, CA 94954
Phone: 707-762-0067    Fax: 707-762-4782
Dr. Mark John Nizibian, D.D.S.
Dentist
Medicare: Medicare Enrolled
Practice Location: 1122 B St, Petaluma, CA 94952
Phone: 707-763-1688    Fax: 707-763-5152
Dr. Thomas Randall Szutz, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 401 Kenilworth Dr, Suite 960, Petaluma, CA 94952
Phone: 707-789-9600    Fax: 707-789-9549
Dr. Stephen H Nagle,
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 511 Hayes Ln, Petaluma, CA 94952
Phone: 707-763-2654    Fax: 707-763-3141
Dr. Martin Richard Steigner, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 3835 Cypress Dr, Suite 210, Petaluma, CA 94954
Phone: 707-763-1548    Fax: 707-763-6942
Dr. Mark Roper, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 3835 Cypress Dr, Suite 203, Petaluma, CA 94954
Phone: 707-766-7668    Fax: 415-382-1520

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