Individual
DR. GARY HUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
160 FAIRVIEW AVE, FAIRVIEW PLAZA SUITE 201, HUDSON, NY 12534-1267
(518) 828-3007
(518) 828-9350
Mailing address
6 EXECUTIVE PARK DR, SUITE 6C, CLIFTON PARK, NY 12065-5601
(518) 348-0240
(518) 348-0248
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
031422-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00655436
—
NY
Enumeration date
11/20/2006
Last updated
07/13/2009
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