Provider Demographics
NPI:1922029255
Name:HIGHAM, GARY CHRISTOPHER (DDS)
Entity Type:Individual
Prefix:DR
First Name:GARY
Middle Name:CHRISTOPHER
Last Name:HIGHAM
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 1:627 W CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17603-3410
Mailing Address - Country:US
Mailing Address - Phone:717-393-2331
Mailing Address - Fax:
Practice Address - Street 1:627 W CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-3410
Practice Address - Country:US
Practice Address - Phone:717-393-2331
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS 22901-L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice