Individual
DR. RICHARD WAYNE GILREATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1142 S SOUTH ST, MOUNT AIRY, NC 27030-5332
(336) 786-8334
(336) 786-8250
Mailing address
1142 S SOUTH ST, MOUNT AIRY, NC 27030-5332
(336) 786-8334
(336) 786-8250
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6035
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19784
UPIN
NC
01
—
281
TRIGON
NC
01
—
281989
ANTHEM
NC
01
—
764612
UNITED CONCORDIA
NC
05
—
8993193
—
NC
01
—
93193
BLUE CROSS/BLUE SHIELD
NC
Enumeration date
05/22/2008
Last updated
05/22/2008
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