Individual
DR. MICHAEL WAYNE GAITHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
8790 WALNUT GROVE RD, CORDOVA, TN 38018-4379
(901) 290-6585
Mailing address
8790 WALNUT GROVE RD, CORDOVA, TN 38018-4379
(901) 290-6585
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS8703
TN
1223G0001X
General Practice Dentistry
DS0000008703
TN
Other
Enumeration date
07/12/2013
Last updated
06/09/2025
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