Provider Demographics
NPI:1467522508
Name:GURWELL, KIT RAY (DDS)
Entity Type:Individual
Prefix:DR
First Name:KIT
Middle Name:RAY
Last Name:GURWELL
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 1:34 CARRIAGE HILL ROAD
Mailing Address - Street 2:
Mailing Address - City:HANCOCK
Mailing Address - State:NH
Mailing Address - Zip Code:03449
Mailing Address - Country:US
Mailing Address - Phone:603-525-4149
Mailing Address - Fax:
Practice Address - Street 1:18 ELM ST
Practice Address - Street 2:
Practice Address - City:ANTRIM
Practice Address - State:NH
Practice Address - Zip Code:03440-0446
Practice Address - Country:US
Practice Address - Phone:603-588-6362
Practice Address - Fax:603-588-8039
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH34811223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30303690Medicaid