# GERWIG FAMILY DENTAL PLLC

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

## Provider details

- **NPI number:** 1578893020
- **Authorized official:** CHRISTOPHER GERWIG DDS (PRESIDENT)
- **Authorized official phone:** (806) 794-7479

## Contact information

- **Practice address:** 4425 98TH ST, SUITE 100, LUBBOCK, TX 79424
- **Practice address phone:** (806) 794-7479
- **Practice address fax:** (806) 783-8843
- **Mailing address:** 4425 98TH ST, SUITE 100, LUBBOCK, TX 79424
- **Mailing address phone:** (806) 794-7479
- **Mailing address fax:** (806) 783-8843

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 14505 | TX | — |
| 122300000X | Dentist | 22680 | TX | Yes |

## Other

- **Enumeration date:** 01/06/2010
- **Last updated:** 09/19/2013
