Individual
DR. GARY RAY MEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6057 PEMBROOKE, NEWBURGH, IN 47630-1231
(812) 853-5931
Mailing address
6057 PEMBROOKE DR, NEWBURGH, IN 47630-1715
(812) 853-5931
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12006732
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100253990
—
IN
Enumeration date
12/08/2006
Last updated
08/13/2012
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