# DR. GARY THOMAS GREGG

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1326021650
- **Gender:** Man
- **Credential:** DDS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DE00005828 | WA | Yes |

## Other

- **Enumeration date:** 11/21/2005
- **Last updated:** 07/08/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 073914000 | BLUE CROSS/BLUE SHIELD | WA |
| 01 | — | DE00005828 | WA DENTAL LICENSE \# | WA |
| 01 | — | DELTA DENTAL | INSURANCE IDENTIFIER | WA |
