# GARY L. DRURY, DDS, P.C.

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

## Provider details

- **NPI number:** 1871699082
- **Authorized official:** GARY L DRURY DDS (PRESIDENT)
- **Authorized official phone:** (574) 264-9015

## Contact information

- **Practice address:** 810 W BRISTOL ST, SUITE ABC-1, ELKHART, IN 46514-2954
- **Practice address phone:** (574) 264-9015
- **Mailing address:** 810 W BRISTOL ST, SUITE ABC-1, ELKHART, IN 46514-2954

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 54000959A | IN | Yes |

## Other

- **Enumeration date:** 09/15/2006
- **Last updated:** 08/22/2020