Provider Demographics
NPI:1659448181
Name:GAITHER, ERIN L (DDS)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:L
Last Name:GAITHER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4851 CAHABA RIVER RD
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35243-2354
Mailing Address - Country:US
Mailing Address - Phone:205-969-0130
Mailing Address - Fax:205-969-9220
Practice Address - Street 1:4851 CAHABA RIVER RD
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35243-2354
Practice Address - Country:US
Practice Address - Phone:205-969-0130
Practice Address - Fax:205-969-9220
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL46361223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL622650OtherUCCI
AL622650OtherUCCI