Gary P Weller Dds Pa

LBN: Gary P Weller Dds Pa
Gary P Weller Dds Pa is an health care organization with primary practice located at 825 Majestic Ct Suite C, Gastonia NC 28054-5186. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Gary P Weller Dds Pa can be contacted via phone (704) 864-6721, or through Weller, Gary Paul via phone (704) 864-6721.

Contact Information

Primary practice address
825 Majestic Ct Suite C Gastonia NC 28054-5186
Phone: (704) 864-6721
Fax: (704) 864-1175
Website:
Map and Directions
Authorized official contact:
Name: Weller, Gary Paul Doctor of Dental Surgery (DDS)
Phone: (704) 864-6721

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X NC4417 North Carolina

Profile Details

NPI number 1912079930
LBN Legal business name Gary P Weller Dds Pa
DBA Doing business as
Authorized official Weller, Gary Paul Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 14th, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912079930 NPPES
North Carolina MEDICAID 8999096

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