Individual
DR. GARY THOMAS GREGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
700 N DEVINE RD, VANCOUVER, WA 98661-6964
(360) 750-1385
(360) 750-1798
Mailing address
700 N DEVINE RD, VANCOUVER, WA 98661-6964
(360) 750-1385
(360) 750-1798
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00005828
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
073914000
BLUE CROSS/BLUE SHIELD
WA
01
—
DE00005828
WA DENTAL LICENSE #
WA
01
—
DELTA DENTAL
INSURANCE IDENTIFIER
WA
Enumeration date
11/21/2005
Last updated
07/08/2007
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