# DR. RICHARD WAYNE GILREATH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1629236955
- **Gender:** Man
- **Credential:** DDS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 6035 | NC | Yes |

## Other

- **Enumeration date:** 05/22/2008
- **Last updated:** 05/22/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 19784 | UPIN | NC |
| 01 | — | 281 | TRIGON | NC |
| 01 | — | 281989 | ANTHEM | NC |
| 01 | — | 764612 | UNITED CONCORDIA | NC |
| 05 | — | 8993193 | — | NC |
| 01 | — | 93193 | BLUE CROSS/BLUE SHIELD | NC |