Provider Demographics
NPI:1699839324
Name:GATTI & MANN DDS PC
Entity Type:Organization
Organization Name:GATTI & MANN DDS PC
Other - Org Name:GATEWAY ENDODONTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ENDODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:GATTI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS MMSC
Authorized Official - Phone:816-554-7373
Mailing Address - Street 1:3351 NE RALPH POWELL RD
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64064-2368
Mailing Address - Country:US
Mailing Address - Phone:816-554-7373
Mailing Address - Fax:816-554-7381
Practice Address - Street 1:3351 NE RALPH POWELL RD
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64064-2368
Practice Address - Country:US
Practice Address - Phone:816-554-7373
Practice Address - Fax:816-554-7381
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO015695122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty