# GARY D. BEHREND, DDS, PA

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

## Provider details

- **NPI number:** 1548473242
- **Authorized official:** DR. GARY D BEHREND DDS (PRESIDENT)
- **Authorized official phone:** (919) 866-1989

## Contact information

- **Practice address:** 5710 SIX FORKS RD, SUITE 101, RALEIGH, NC 27609-8617
- **Practice address phone:** (919) 866-1989
- **Practice address fax:** (919) 866-0468
- **Mailing address:** 5710 SIX FORKS RD, SUITE 101, RALEIGH, NC 27609-8617
- **Mailing address phone:** (919) 866-1989
- **Mailing address fax:** (919) 866-0468

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 5745 | NC | Yes |

## Other

- **Enumeration date:** 05/08/2007
- **Last updated:** 08/22/2020