Provider Demographics
NPI:1003924531
Name:CONTE, GREGORY J (DMD, MS)
Entity Type:Individual
Prefix:
First Name:GREGORY
Middle Name:J
Last Name:CONTE
Suffix:
Gender:M
Credentials:DMD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:345 W PORTAL AVE
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94127-1429
Mailing Address - Country:US
Mailing Address - Phone:415-664-4532
Mailing Address - Fax:
Practice Address - Street 1:345 W PORTAL AVE
Practice Address - Street 2:3RD FLOOR
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94127-1429
Practice Address - Country:US
Practice Address - Phone:415-664-4532
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA420421223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics