Provider Demographics
NPI:1700288933
Name:DUNCAN, GABRIEL THOMAS (DDS)
Entity Type:Individual
Prefix:DR
First Name:GABRIEL
Middle Name:THOMAS
Last Name:DUNCAN
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 1:3405 RENAISSANCE PARK PL
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-2280
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:242 S MAIN ST STE 208
Practice Address - Street 2:
Practice Address - City:HOLLY SPRINGS
Practice Address - State:NC
Practice Address - Zip Code:27540-6053
Practice Address - Country:US
Practice Address - Phone:919-753-1280
Practice Address - Fax:888-407-1154
Is Sole Proprietor?:No
Enumeration Date:2014-09-18
Last Update Date:2022-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9369122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist