DR. MICHAEL ALLEN GENTRY M.D. NPI 1477577633

NPI Information

NPI: 1477577633
Provider Name: DR. MICHAEL ALLEN GENTRY, M.D.
Classification: Dermatology - 207NS0135X
Entity Type: Individual

Specialization: Procedural Dermatology

Address:
1722 S GLENSTONE AVE
SUITE K
SPRINGFIELD, MO
ZIP 65804
Phone: (417) 883-8162
Get Directions

DR. Michael Allen Gentry, M.D. is a procedural dermatology dermatology in Springfield, MO. The provider is procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). DR. Michael Allen Gentry, M.D. NPI is 1477577633. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1722 S GLENSTONE AVE
SUITE K
SPRINGFIELD, MO
ZIP 65804-519
Phone: (417) 883-8162
Fax: (417) 883-6225

The enumeration date for this NPI number is 7/27/2006 and was last updated on 7/18/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207NS0135X	Dermatology	Procedural Dermatology	29675	MISSOURI	Yes
2	207NI0002X	Dermatology	Clinical & Laboratory Dermatological Immunology		MISSOURI	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	A12002	MEDICARE UPIN	MISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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