# RAYMOND GIST DDS PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Raymond Gist DDS PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134852452
- **Authorized official:** DR. RAYMOND F GIST DDS (PRESIDENT)
- **Authorized official phone:** (810) 720-4170

## Contact information

- **Practice address:** 4170 LENNON RD STE A, FLINT, MI 48507-1083
- **Practice address phone:** (810) 720-4170
- **Practice address fax:** (810) 720-0426
- **Mailing address:** 4170 LENNON RD STE A, FLINT, MI 48507-1083
- **Mailing address phone:** (810) 720-4170
- **Mailing address fax:** (810) 720-0426

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 07/05/2022
- **Last updated:** 07/05/2022