Individual
DR. GARY R MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3200 OLD JENNINGS ROAD, MIDDLEBURG, FL 32068-3414
(904) 505-2010
(904) 505-2011
Mailing address
3200 OLD JENNINGS ROAD, MIDDLEBURG, FL 32068-3414
(904) 505-2010
(904) 505-2011
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN14903
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1768502
UNITED CONCORDIA
FL
01
—
85410
BLUE CROSS BLUE SHIELD
—
Enumeration date
08/01/2006
Last updated
07/12/2007
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