Provider Demographics
NPI:1366514853
Name:GREGORY G STONE DDS PC
Entity type:Organization
Organization Name:GREGORY G STONE DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:G
Authorized Official - Last Name:STONE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:907-276-5506
Mailing Address - Street 1:880 N STREET SUITE #223
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99501
Mailing Address - Country:US
Mailing Address - Phone:907-276-5506
Mailing Address - Fax:907-274-6427
Practice Address - Street 1:880 N ST
Practice Address - Street 2:SUITE #223
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99501-3229
Practice Address - Country:US
Practice Address - Phone:907-276-5506
Practice Address - Fax:907-274-6427
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AKAA04841223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty