Provider Demographics
NPI:1295373827
Name:DAVID B GADDIS DDS PA
Entity Type:Organization
Organization Name:DAVID B GADDIS DDS PA
Other - Org Name:SLEEP WELL NEWTON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:B
Authorized Official - Last Name:GADDIS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:828-464-1732
Mailing Address - Street 1:14 N ASHE AVE
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:NC
Mailing Address - Zip Code:28658-3229
Mailing Address - Country:US
Mailing Address - Phone:828-464-1732
Mailing Address - Fax:
Practice Address - Street 1:14 N ASHE AVE
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:NC
Practice Address - Zip Code:28658-3229
Practice Address - Country:US
Practice Address - Phone:828-464-1732
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-13
Last Update Date:2020-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental