Provider Demographics
NPI:1184643140
Name:EUGENE C. GADAIRE, D.D.S.
Entity type:Organization
Organization Name:EUGENE C. GADAIRE, D.D.S.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EUGENE
Authorized Official - Middle Name:C
Authorized Official - Last Name:GADAIRE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:202-331-1554
Mailing Address - Street 1:2440 M ST NW
Mailing Address - Street 2:SUITE 601
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037-1404
Mailing Address - Country:US
Mailing Address - Phone:202-331-1554
Mailing Address - Fax:
Practice Address - Street 1:2440 M ST NW
Practice Address - Street 2:SUITE 601
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-1404
Practice Address - Country:US
Practice Address - Phone:202-331-1554
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty