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Organization
KEITH R.R. GAUGHT, DDS, PA
Active
Organization
KEITH R.R. GAUGHT, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH RICHARD REUBEN GAUGHT DDS (PRESIDENT)
(919) 847-6453
Entity
Organization
Contact information
Practice address
7718 SIX FORKS RD STE 110, RALEIGH, NC 27615-5072
(919) 847-6453
Mailing address
7718 SIX FORKS RD STE 110, RALEIGH, NC 27615-5072
(919) 847-6453
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
NULL
Other
Enumeration date
11/27/2019
Last updated
09/23/2026
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