Provider Demographics
NPI:1932276250
Name:BIALEK, GREGORY PAUL (DDS)
Entity Type:Individual
Prefix:
First Name:GREGORY
Middle Name:PAUL
Last Name:BIALEK
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 1:360 EXCHANGE ST NW STE 101
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28027-2940
Mailing Address - Country:US
Mailing Address - Phone:704-788-1717
Mailing Address - Fax:704-788-1752
Practice Address - Street 1:360 EXCHANGE ST NW STE 101
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28027-2940
Practice Address - Country:US
Practice Address - Phone:704-788-1717
Practice Address - Fax:704-788-1752
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7058122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist