Healthcare Provider Details

I. General information

NPI: 1740445048
Provider Name (Legal Business Name): GREGORY A. DOTT, D.O., PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2008
Last Update Date: 04/12/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8115 PRESTON RD STE. 230E
DALLAS TX
75225-6330
US

IV. Provider business mailing address

8115 PRESTON RD STE. 230E
DALLAS TX
75225-6330
US

V. Phone/Fax

Practice location:
  • Phone: 214-389-3180
  • Fax: 214-389-3182
Mailing address:
  • Phone: 214-389-3180
  • Fax: 214-389-3182

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204D00000X
TaxonomyNeuromusculoskeletal Medicine & OMM Physician
License NumberG9734
License Number StateTX

VIII. Authorized Official

Name: DR. GREGORY A. DOTT
Title or Position: PHYSICIAN/OWNER
Credential: D.O.
Phone: 214-389-3180