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NPI Code Detail

MEDICARE: DR. DAVID G. GAILEY DDS

MEDICARE:  DR. DAVID G. GAILEY  DDS
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
11223S0112XOral and Maxillofacial Surgery (Dentist)166OK
21223S0112XOral and Maxillofacial Surgery (Dentist)DE60353083WA
3390200000XStudent in an Organized Health Care Education/Training Program
4204E00000XOral & Maxillofacial Surgery (D.M.D.)DE60353083WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1093977506
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID G. GAILEY DDS
Provider Business Mailing Address
First Line : 2204 E 29TH AVE
Second Line : SUITE #104
City : SPOKANE
State : WA
Zip : 99203-3961
Country : US
Telephone Number : 509-321-1404
Fax Number : 509-321-0211
Provider Business Practice Location Address
First Line : 2204 E 29TH AVE
Second Line : SUITE #104
City : SPOKANE
State : WA
Zip : 99203-3961
Country : US
Telephone Number : 509-321-1404
Fax Number : 509-321-0211
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2008
Last Update Date : 10/18/2024

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Directions to “ DR. DAVID G. GAILEY DDS” Practice Location

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