Provider Demographics
NPI:1164599254
Name:INMANN, GARY ODELL (DMD)
Entity Type:Individual
Prefix:DR
First Name:GARY
Middle Name:ODELL
Last Name:INMANN
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Gender:M
Credentials:DMD
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Mailing Address - Street 1:520 NORTH MILES STREET
Mailing Address - Street 2:SUITE D
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:KY
Mailing Address - Zip Code:42701-1874
Mailing Address - Country:US
Mailing Address - Phone:270-769-1349
Mailing Address - Fax:270-769-4605
Practice Address - Street 1:520 NORTH MILES STREET
Practice Address - Street 2:INMAN ORTHODONTICS SUITE D
Practice Address - City:ELIZABETHTOWN
Practice Address - State:KY
Practice Address - Zip Code:42701-1874
Practice Address - Country:US
Practice Address - Phone:270-769-1349
Practice Address - Fax:270-769-4605
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KYKY45991223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics