Provider Demographics
NPI:1114147121
Name:GASPAR, EUGENE CHRISTOPHER (DDS)
Entity Type:Individual
Prefix:DR
First Name:EUGENE
Middle Name:CHRISTOPHER
Last Name:GASPAR
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:128 LEONARD ST
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75057-4038
Mailing Address - Country:US
Mailing Address - Phone:317-213-9037
Mailing Address - Fax:
Practice Address - Street 1:2021 JUSTIN RD
Practice Address - Street 2:SUITE 119
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028-3800
Practice Address - Country:US
Practice Address - Phone:972-691-8337
Practice Address - Fax:972-691-8422
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX223621223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice