Provider Demographics
NPI:1962523449
Name:POINTER, GARY NEIL (DDS)
Entity type:Individual
Prefix:DR
First Name:GARY
Middle Name:NEIL
Last Name:POINTER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4901 BRYANT IRVIN RD N
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76107-7673
Mailing Address - Country:US
Mailing Address - Phone:817-737-2531
Mailing Address - Fax:817-737-2616
Practice Address - Street 1:4901 BRYANT IRVIN RD N
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76107-7673
Practice Address - Country:US
Practice Address - Phone:817-737-2531
Practice Address - Fax:817-737-2616
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX122261223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice