# GARY T GREGG, DDS PS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gregg Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063666832
- **Authorized official:** DR. GARY THOMAS GREGG DDS (PRESIDENT)
- **Authorized official phone:** (360) 750-1385

## Contact information

- **Practice address:** 700 N DEVINE RD, SUITE A, VANCOUVER, WA 98661-6964
- **Practice address phone:** (360) 750-1385
- **Mailing address:** 700 N DEVINE RD, SUITE A, VANCOUVER, WA 98661-6964
- **Mailing address phone:** (360) 750-1385

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 600 477 520 | WA | Yes |

## Other

- **Enumeration date:** 11/06/2008
- **Last updated:** 11/06/2008