Individual
DR. JAMES C GATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
3400 CIVIC CENTER BLVD FL 4, PHILADELPHIA, PA 19104-5127
(215) 662-3580
(215) 662-7445
Mailing address
3400 CIVIC CENTER BLVD FL 4, PHILADELPHIA, PA 19104-5127
(215) 662-3580
(215) 662-7445
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DS038935
PA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
DS038935
PA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
MD471966
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1030108450001
—
PA
Enumeration date
10/16/2011
Last updated
11/22/2022
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