Provider Demographics
NPI:1609960822
Name:GAYLE DOORES DDS PC
Entity Type:Organization
Organization Name:GAYLE DOORES DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWER - DDS
Authorized Official - Prefix:DR
Authorized Official - First Name:ANN-GAYLE
Authorized Official - Middle Name:
Authorized Official - Last Name:DOORES
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:972-407-9401
Mailing Address - Street 1:6090 CAMPBELL RD # 114
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75248
Mailing Address - Country:US
Mailing Address - Phone:972-407-9401
Mailing Address - Fax:972-407-9466
Practice Address - Street 1:6090 CAMPBELL RD # 114
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75248
Practice Address - Country:US
Practice Address - Phone:972-407-9401
Practice Address - Fax:972-407-9466
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty