Provider Demographics
NPI:1548572498
Name:GUNTER AND GRAHAM, D.D.S., P.A.
Entity Type:Organization
Organization Name:GUNTER AND GRAHAM, D.D.S., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCIAL MNG.
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:D
Authorized Official - Last Name:HULL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-328-5581
Mailing Address - Street 1:221 13TH AVENUE PLACE NORTHWEST,
Mailing Address - Street 2:SUITE 102
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28601
Mailing Address - Country:US
Mailing Address - Phone:828-328-5581
Mailing Address - Fax:828-322-1745
Practice Address - Street 1:221 13TH AVENUE PLACE NORTHWEST,
Practice Address - Street 2:SUITE 102
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28601
Practice Address - Country:US
Practice Address - Phone:828-328-5581
Practice Address - Fax:828-322-1745
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-08
Last Update Date:2010-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3926122300000X
NC8371122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5910909Medicaid