Individual
DR. GARY WAYNE BACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
4004 BALMORAL DR SW, HUNTSVILLE, AL 35801-6402
(256) 883-0030
(256) 883-0235
Mailing address
4004 BALMORAL DR SW, HUNTSVILLE, AL 35801-6402
(256) 883-0030
(256) 883-0235
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3375
AL
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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