# JAMES L GATES

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1912932609
- **Gender:** Man
- **Credential:** D.D.S.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0401005722 | VA | Yes |

## Other

- **Enumeration date:** 07/11/2006
- **Last updated:** 12/10/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 007822103 | — | VA |
| 01 | — | 141620 | ANTHEM PROVIDER ID | VA |
| 01 | — | 598414 | UNITIED CONCORDIA | VA |