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RONALD D. GAITROS DDS MS PA NPI 1750553517


NPI Information

NPI: 1750553517
Provider Name: RONALD D. GAITROS, DDS, MS, PA
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
1122 MEDICAL CENTER DR
WILMINGTON, NC
ZIP 28401
Phone: (910) 762-2618
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RONALD D. GAITROS, DDS, MS, PA is an oral and maxillofacial surgery dentist in Wilmington, NC. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. RONALD D. GAITROS, DDS, MS, PA NPI is 1750553517. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1122 MEDICAL CENTER DR
WILMINGTON, NC
ZIP 28401-305
Phone: (910) 762-2618
Fax: (910) 763-5173

The provider's authorized official is Ronald D. Gaitros .
The authorized official title is Officer/director and has the following contact phone number (910) 762-2618.

The enumeration date for this NPI number is 4/1/2008 and was last updated on 4/24/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial Surgery5707NORTH DAKOTAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
18993034MEDICAIDNORTH CAROLINA
2733616OTHERNORTH CAROLINAUCCI
3145233OTHERNORTH CAROLINAGUARDIAN
493034OTHERNORTH CAROLINABCBS
5U25927MEDICARE UPINNORTH CAROLINA

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: 4/28/2024

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