Keith R.r. Gaught, Dds, Pa | |
7718 Six Forks Road Suite 110 Raleigh NC 27615-5072 | |
(919) 847-6453 | |
Not Available |
Full Name | Keith R.r. Gaught, Dds, Pa |
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Speciality | Dentist - General Practice |
Location | 7718 Six Forks Road, Raleigh, North Carolina |
Authorized Official Name and Position | Keith Richard Reuben Gaught (PRESIDENT) |
Authorized Official Contact | 9198476453 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Keith R.r. Gaught, Dds, Pa 101 Hedwig Ct Cary NC 27518-8693 Ph: (219) 916-6119 | Keith R.r. Gaught, Dds, Pa 7718 Six Forks Road Suite 110 Raleigh NC 27615-5072 Ph: (919) 847-6453 |
NPI Number | 1306482104 |
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Provider Enumeration Date | 11/27/2019 |
Last Update Date | 08/20/2021 |
Identifier | Type | State | Issuer |
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1306482104 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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