Provider Demographics
NPI:1487084125
Name:SAWYER, GREGORY LEE (DDS)
Entity type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:LEE
Last Name:SAWYER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2034 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:CA
Mailing Address - Zip Code:95971-9658
Mailing Address - Country:US
Mailing Address - Phone:530-283-2811
Mailing Address - Fax:530-283-9142
Practice Address - Street 1:2034 E MAIN ST
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:CA
Practice Address - Zip Code:95971-9658
Practice Address - Country:US
Practice Address - Phone:530-283-2811
Practice Address - Fax:530-283-9142
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-15
Last Update Date:2013-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA280841223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice