Provider Demographics
NPI:1972537280
Name:DENTON, GREGORY L (DDS)
Entity Type:Individual
Prefix:
First Name:GREGORY
Middle Name:L
Last Name:DENTON
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 1:200 A BEVERLY HANKS CENTER
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28792-2301
Mailing Address - Country:US
Mailing Address - Phone:828-692-9075
Mailing Address - Fax:
Practice Address - Street 1:200 BEVERLY HANKS CTR
Practice Address - Street 2:SUITE A
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28792-2301
Practice Address - Country:US
Practice Address - Phone:828-692-9075
Practice Address - Fax:828-692-6511
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2013-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC64281223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5901380Medicaid