# ROGER L. GAUSE DDS

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

## Provider details

- **NPI number:** 1487044111
- **Authorized official:** ROGER GAUSE (DENTIST/OWNER)
- **Authorized official phone:** (910) 762-5961

## Contact information

- **Practice address:** 415 N 7TH ST, WILMINGTON, NC 28401-4103
- **Practice address phone:** (910) 762-5961
- **Practice address fax:** (910) 762-8115
- **Mailing address:** 415 N 7TH ST, WILMINGTON, NC 28401-4103
- **Mailing address phone:** (910) 762-5961
- **Mailing address fax:** (910) 762-8115

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 4346 | NC | Yes |

## Other

- **Enumeration date:** 02/03/2015
- **Last updated:** 02/03/2015