Individual
DR. GREGORY P GATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1800 DAKOTA RIDGE RD, COALPORT, PA 16627-8975
(814) 687-3891
(814) 687-3891
Mailing address
1800 DAKOTA RIDGE RD, COALPORT, PA 16627-8975
(814) 687-3891
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS026403L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01138545
MEDPLUS
PA
05
—
01138545
—
PA
Enumeration date
10/20/2005
Last updated
12/17/2007
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