Provider Demographics
NPI:1326140211
Name:TOTH, GARY DALE (DMD)
Entity Type:Individual
Prefix:DR
First Name:GARY
Middle Name:DALE
Last Name:TOTH
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 WHITAKER STREET
Mailing Address - Street 2:
Mailing Address - City:WHITAKER
Mailing Address - State:PA
Mailing Address - Zip Code:15120-2411
Mailing Address - Country:US
Mailing Address - Phone:412-462-7710
Mailing Address - Fax:412-462-7710
Practice Address - Street 1:107 WHITAKER STREET
Practice Address - Street 2:
Practice Address - City:WHITAKER
Practice Address - State:PA
Practice Address - Zip Code:15120-2411
Practice Address - Country:US
Practice Address - Phone:412-462-7710
Practice Address - Fax:412-462-7710
Is Sole Proprietor?:No
Enumeration Date:2006-09-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPADS019747L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist