Provider Demographics
NPI:1588815476
Name:GILCHRIST, KEVIN WESLEY (DDS)
Entity Type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:WESLEY
Last Name:GILCHRIST
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7800 SIX FORKS RD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-2980
Mailing Address - Country:US
Mailing Address - Phone:919-847-5437
Mailing Address - Fax:919-870-7471
Practice Address - Street 1:7800 SIX FORKS RD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-2980
Practice Address - Country:US
Practice Address - Phone:919-847-5437
Practice Address - Fax:919-870-7471
Is Sole Proprietor?:No
Enumeration Date:2008-10-09
Last Update Date:2008-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC81641223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry