# GARY G NAYLOR DDS PLLC

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

## Provider details

- **NPI number:** 1366553695
- **Authorized official:** DR. GARY GRANT NAYLOR DDS (MEMBER)
- **Authorized official phone:** (304) 329-2682

## Contact information

- **Practice address:** 202 TUNNELTON ST STE 214, KINGWOOD, WV 26537-1452
- **Practice address phone:** (304) 329-1989
- **Mailing address:** RR 1 BOX 402, KINGWOOD, WV 26537-9715
- **Mailing address phone:** (304) 329-2682

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 1969 | WV | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 09/09/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0135772001 | — | WV |