Provider Demographics
NPI:1376602631
Name:ERIN L GAITHER, DDS, MS
Entity Type:Organization
Organization Name:ERIN L GAITHER, DDS, MS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:L
Authorized Official - Last Name:GAITHER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:205-969-0130
Mailing Address - Street 1:4851 CAHABA RIVER RD
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35243-2354
Mailing Address - Country:US
Mailing Address - Phone:205-969-0130
Mailing Address - Fax:205-969-9220
Practice Address - Street 1:4851 CAHABA RIVER RD
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35243-2354
Practice Address - Country:US
Practice Address - Phone:205-969-0130
Practice Address - Fax:205-969-9220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL46361223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty