Provider Demographics
NPI:1699951236
Name:MAY, GARY S (DDS)
Entity type:Individual
Prefix:DR
First Name:GARY
Middle Name:S
Last Name:MAY
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:PO BOX 334
Mailing Address - Street 2:3052 BRIDGECREEK RD
Mailing Address - City:INCHELIUM
Mailing Address - State:WA
Mailing Address - Zip Code:99138-0334
Mailing Address - Country:US
Mailing Address - Phone:509-592-3051
Mailing Address - Fax:
Practice Address - Street 1:39 SHORRTCUT RD
Practice Address - Street 2:290 OX
Practice Address - City:INCHELIUM
Practice Address - State:WA
Practice Address - Zip Code:99138
Practice Address - Country:US
Practice Address - Phone:509-722-7014
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-14
Last Update Date:2008-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY33249122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist