Provider Demographics
NPI:1720015332
Name:LOHR, GARY D (DDS)
Entity Type:Individual
Prefix:DR
First Name:GARY
Middle Name:D
Last Name:LOHR
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:618 SW 3RD ST
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64063-2277
Mailing Address - Country:US
Mailing Address - Phone:816-524-7050
Mailing Address - Fax:816-524-2394
Practice Address - Street 1:618 SW 3RD ST
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64063-2277
Practice Address - Country:US
Practice Address - Phone:816-524-7050
Practice Address - Fax:816-524-2394
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO13-9141223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice