Provider Demographics
NPI:1386813533
Name:ROBERT C. GANO, D.D.S., P.C.
Entity type:Organization
Organization Name:ROBERT C. GANO, D.D.S., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:C
Authorized Official - Last Name:GANO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:269-373-1999
Mailing Address - Street 1:5462 GULL RD
Mailing Address - Street 2:SUITE 7
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49048-7655
Mailing Address - Country:US
Mailing Address - Phone:269-373-1999
Mailing Address - Fax:
Practice Address - Street 1:5462 GULL RD
Practice Address - Street 2:SUITE 7
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49048-7655
Practice Address - Country:US
Practice Address - Phone:269-373-1999
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-21
Last Update Date:2022-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No122300000XDental ProvidersDentistGroup - Multi-Specialty