Healthcare Provider Details

I. General information

NPI: 1871482331
Provider Name (Legal Business Name): CAROLINE GEKAS DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2025
Last Update Date: 06/30/2025
Certification Date: 06/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1395 CENTER DR RM D1-40
GAINESVILLE FL
32610-3006
US

IV. Provider business mailing address

4309 MOSSEY OAK CT
FLOWER MOUND TX
75022-0908
US

V. Phone/Fax

Practice location:
  • Phone: 352-273-7643
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberDRPM2911
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: