Individual
GREGORY WYNN PYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
138 MEMORIAL DR, EVERETT, PA 15537-7028
(814) 623-1022
Mailing address
138 MEMORIAL DR, EVERETT, PA 15537-7028
(814) 623-1022
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS026308L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200074
UPMC HEALTH PLAN
PA
01
—
27103
GEISINGER HEALTH PLAN
PA
Enumeration date
07/18/2006
Last updated
07/08/2007
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