Healthcare Provider Details

I. General information

NPI: 1831165745
Provider Name (Legal Business Name): MILTON JAMES GASKILL JR DDS PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2006
Last Update Date: 05/03/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 MORGAN ST
MARION NC
28752-4935
US

IV. Provider business mailing address

55 MORGAN ST
MARION NC
28752-4935
US

V. Phone/Fax

Practice location:
  • Phone: 828-652-6967
  • Fax: 828-652-6525
Mailing address:
  • Phone: 828-652-6967
  • Fax: 828-652-6525

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: MR. MILTON JAMES GASKILL JR.
Title or Position: PRESIDENT
Credential: DDS
Phone: 828-652-6967