Individual provider · NPI-1

Dr. John K Gates, DDS

Dentist, General Practice · Danville, PA

NPI number1194735464
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1194735464
Entity type
Individual (NPI-1)
Name
Dr. John K Gates
Credential
DDS
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 9, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General PracticeDS02366OLPAYes

Practice location

104 Mill St
Danville, PA 17821-1948

Phone 570-275-7730 · Fax 570-275-6099

Mailing address

104 Mill St
Danville, PA 17821-1948

Phone 570-275-7730 · Fax 570-275-6099

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