Individual
GREGORY M CASEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3388 WOODS EDGE CR, STE #103, BONITA SPRINGS, FL 34134
(239) 947-6637
(239) 947-3223
Mailing address
3388 WOODS EDGE CR, STE #103, BONITA SPRINGS, FL 34134
(239) 947-6637
(239) 947-6631
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN17367
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
076081100
—
FL
Enumeration date
03/10/2006
Last updated
02/16/2017
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