# DAVID B. GREGORY, D.D.S.,P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336759208
- **Authorized official:** KIM WIDEMAN (OFFICE MANAGER)
- **Authorized official phone:** (806) 792-4889

## Contact information

- **Practice address:** 3302 64TH ST, LUBBOCK, TX 79413-5743
- **Practice address phone:** (806) 792-4889
- **Practice address fax:** (806) 793-2624
- **Mailing address:** 3302 64TH ST, LUBBOCK, TX 79413-5743
- **Mailing address phone:** (806) 792-4889
- **Mailing address fax:** (806) 793-2624

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/05/2020
- **Last updated:** 08/05/2020