Provider Demographics
NPI:1124240205
Name:DR. GREGORY C. GELL, DDS
Entity type:Organization
Organization Name:DR. GREGORY C. GELL, DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ENDODONTIST
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:GELL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:704-784-4625
Mailing Address - Street 1:5345 VINING ST
Mailing Address - Street 2:STE 201
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28027
Mailing Address - Country:US
Mailing Address - Phone:704-784-4625
Mailing Address - Fax:
Practice Address - Street 1:5345 VINING ST
Practice Address - Street 2:STE 201
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28027
Practice Address - Country:US
Practice Address - Phone:704-784-4625
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC67821223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty