Organization
GARY N GAITHER DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY NEIL GAITHER DDS (DENTIST OWNER)
(704) 873-8465
Entity
Organization
Contact information
Practice address
131 NORTH MULBERRY STREET, STATESVILLE, NC 28677-5135
(704) 873-8465
Mailing address
131 NORTH MULBERRY STREET, STATESVILLE, NC 28677-5135
(704) 873-8465
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5212
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8993031
—
NC
Enumeration date
03/04/2008
Last updated
03/04/2008
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