Individual
DR. GARY NEIL GAITHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
131 NORTH MULBERRY STREET, STATESVILLE, NC 28677
(704) 873-8465
Mailing address
131 NORTH MULBERRY STREET, STATESVILLE, NC 28677
(704) 873-8465
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5212
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8993031
—
NC
Enumeration date
05/01/2007
Last updated
07/08/2007
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