| 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 |
|---|---|
| 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 |
|---|---|
| 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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