Gary P Weller Dds Pa | |
825 Majestic Ct Suite C Gastonia NC 28054-5186 | |
(704) 864-6721 | |
(704) 864-1175 |
Full Name | Gary P Weller Dds Pa |
---|---|
Speciality | Dentist - General Practice |
Location | 825 Majestic Ct, Gastonia, North Carolina |
Authorized Official Name and Position | Gary Paul Weller (CEO AND OWNER) |
Authorized Official Contact | 7048646721 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Gary P Weller Dds Pa 825 Majestic Ct Suite C Gastonia NC 28054-5186 Ph: (704) 864-6721 | Gary P Weller Dds Pa 825 Majestic Ct Suite C Gastonia NC 28054-5186 Ph: (704) 864-6721 |
NPI Number | 1912079930 |
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Provider Enumeration Date | 11/14/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912079930 | NPI | - | NPPES |
8999096 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | NC4417 (North Carolina) | Primary |
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Majestic Dentistry Of Gastonia Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 825 Majestic Ct, Suite - C, Gastonia, NC 28054 Phone: 704-864-6721 Fax: 704-864-1175 |