# GARY F MAPES DDS PA

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

## Provider details

- **NPI number:** 1558622894
- **Authorized official:** DR. GARY F MAPES DDS (OWNER)
- **Authorized official phone:** (903) 297-6022

## Contact information

- **Practice address:** 2800 GILMER RD, SUITE \#1, LONGVIEW, TX 75604-1824
- **Practice address phone:** (903) 297-6022
- **Mailing address:** 2800 GILMER RD, SUITE \#1, LONGVIEW, TX 75604-1824

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 13912 | TX | Yes |
| 332BC3200X | Customized Equipment (DME) | — | — | — |

## Other

- **Enumeration date:** 06/04/2012
- **Last updated:** 07/19/2012