# GNEGY DENTAL ASSOCIATES

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

## Provider details

- **NPI number:** 1659430957
- **Authorized official:** DR. DAVID WAYNE GNEGY DMD (PRESIDENT OWNER)
- **Authorized official phone:** (269) 673-3619

## Contact information

- **Practice address:** 570 LINN ST, SUITE 2, ALLEGAN, MI 49010
- **Practice address phone:** (269) 673-3619
- **Practice address fax:** (269) 673-3682
- **Mailing address:** 570 LINN ST, SUITE 2, ALLEGAN, MI 49010
- **Mailing address phone:** (269) 673-3619
- **Mailing address fax:** (269) 673-3682

## Taxonomy

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

## Other

- **Enumeration date:** 12/06/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 625904 | UNITED CONCORDIA | — |
| 01 | — | D145330 | BCBSM | MI |
