Provider Demographics
NPI:1699187625
Name:GAIL M D BELVETT DDS PLLC
Entity Type:Organization
Organization Name:GAIL M D BELVETT DDS PLLC
Other - Org Name:SOUTHPOINT FAMILY DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GAIL
Authorized Official - Middle Name:
Authorized Official - Last Name:BELVETT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:919-682-9707
Mailing Address - Street 1:1208 RIDDLE RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-1294
Mailing Address - Country:US
Mailing Address - Phone:919-682-9707
Mailing Address - Fax:919-682-0306
Practice Address - Street 1:1208 RIDDLE RD
Practice Address - Street 2:SUITE A
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-1294
Practice Address - Country:US
Practice Address - Phone:919-682-9707
Practice Address - Fax:919-682-0306
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-26
Last Update Date:2014-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC72501223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty