Individual
DR. KEVIN ROGER GILLESPIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3698 CHAMBERS PASS, JBSA FT SAM HOUSTON, TX 78234-7766
(210) 539-3219
Mailing address
3698 CHAMBERS PASS, JBSA FT SAM HOUSTON, TX 78234-7766
(210) 539-3219
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
22280
TX
1223P0300X
Periodontics
Primary
0401415961
VA
Other
Enumeration date
05/18/2006
Last updated
12/14/2022
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