Provider Demographics
NPI:1740445048
Name:GREGORY A. DOTT, D.O., PA
Entity type:Organization
Organization Name:GREGORY A. DOTT, D.O., PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:A
Authorized Official - Last Name:DOTT
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:214-389-3180
Mailing Address - Street 1:8115 PRESTON RD
Mailing Address - Street 2:STE. 230E
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75225-6330
Mailing Address - Country:US
Mailing Address - Phone:214-389-3180
Mailing Address - Fax:214-389-3182
Practice Address - Street 1:8115 PRESTON RD
Practice Address - Street 2:STE. 230E
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75225-6330
Practice Address - Country:US
Practice Address - Phone:214-389-3180
Practice Address - Fax:214-389-3182
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-25
Last Update Date:2011-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG9734204D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMMGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1821000381OtherDR. DOTT PERSONAL NPI #
TX1821000381OtherDR. DOTT PERSONAL NPI #
TXD97318Medicare UPIN