Provider Demographics
NPI:1437262938
Name:GATTI, JOSEPH RAYMOND (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:RAYMOND
Last Name:GATTI
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 1:5100 BOB BILLINGS PKWY
Mailing Address - Street 2:SUITE 110
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66049-3998
Mailing Address - Country:US
Mailing Address - Phone:785-749-2943
Mailing Address - Fax:785-749-0929
Practice Address - Street 1:5100 BOB BILLINGS PKWY
Practice Address - Street 2:SUITE 110
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66049-3998
Practice Address - Country:US
Practice Address - Phone:785-749-2943
Practice Address - Fax:785-749-0929
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2015-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS60151223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice