Dr Hiram Alfonso Gatewood Jr, DMD is a
Dentist - General Practice based in Raymond, Mississippi. Dr Hiram Alfonso Gatewood Jr is licensed to practice in Mississippi (license number 1926-81) and his current practice location is
450 Main St., Raymond, Mississippi. He can be reached at his office (for appointments etc.) via phone at
(601) 857-5021.
NPI number for Dr Hiram Alfonso Gatewood Jr is 1194938126 and his current mailing address is 450 Main St. Po Box 4, Raymond, Mississippi. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1194938126.
Healthcare Provider's Profile
| Full Name | Dr Hiram Alfonso Gatewood Jr |
|---|
| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 450 Main St., Raymond, Mississippi |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1194938126
- Provider Enumeration Date: 05/07/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Hiram Alfonso Gatewood Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1194938126 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 1926-81 (Mississippi) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Hiram Alfonso Gatewood Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Hiram Alfonso Gatewood Jr, DMD
450 Main St. Po Box 4,
Raymond, MS 39154
Ph: (601) 857-5021 | Dr Hiram Alfonso Gatewood Jr, DMD
450 Main St.,
Raymond, MS 39154
Ph: (601) 857-5021 |
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