Provider Demographics
NPI:1881462877
Name:GG PROSTHODONTICS
Entity type:Organization
Organization Name:GG PROSTHODONTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GURKAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GOKTUG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, DMD
Authorized Official - Phone:978-397-6888
Mailing Address - Street 1:132B MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NORTH ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01845-2434
Mailing Address - Country:US
Mailing Address - Phone:978-686-6212
Mailing Address - Fax:
Practice Address - Street 1:132B MAIN ST
Practice Address - Street 2:
Practice Address - City:NORTH ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845-2434
Practice Address - Country:US
Practice Address - Phone:978-686-6212
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-19
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0700XDental ProvidersDentistProsthodonticsGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1720118417OtherINDIVIDUAL NPI