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NPI Code Detail

MEDICARE: GREGORY ALAN LADD D.D.S.

MEDICARE:   GREGORY ALAN LADD  D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist22477TX

General Provider Information

NPI Number : 1538249750
Entity Type Code : Individual
Provider Name (Legal Business Name) : GREGORY ALAN LADD D.D.S.
Provider Business Mailing Address
First Line : 2415 S AUSTIN AVE
Second Line : SUITE 101
City : DENISON
State : TX
Zip : 75020-7741
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2415 S AUSTIN AVE
Second Line : SUITE 101
City : DENISON
State : TX
Zip : 75020-7741
Country : US
Telephone Number : 903-327-8540
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2006
Last Update Date : 12/07/2025

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Directions to “ GREGORY ALAN LADD D.D.S.” Practice Location

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