Provider Demographics
NPI:1437696374
Name:R GYREBET DDS PLLC
Entity Type:Organization
Organization Name:R GYREBET DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:GRYEBET
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:586-978-9002
Mailing Address - Street 1:2727 E 14 MILE RD
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48310-5962
Mailing Address - Country:US
Mailing Address - Phone:586-978-9002
Mailing Address - Fax:586-446-8241
Practice Address - Street 1:2727 E 14 MILE RD
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48310-5962
Practice Address - Country:US
Practice Address - Phone:586-978-9002
Practice Address - Fax:586-446-8241
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-30
Last Update Date:2017-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty