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Dr. John L. Gravitte, D.D.S.

Dentist, General Practice in Mount Airy, NC. Individual provider (NPI-1).

NPI number1457496499
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1457496499
Entity type
Individual (NPI-1)
Name
Dr. John L. Gravitte
Credential
D.D.S.
Sex
Male
Sole proprietor
No
Enumeration date
Feb 20, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice7207NCYes

Practice location

202 Rawley Ave
Mount Airy, NC 27030-3530

Phone 336-719-2273 · Fax 336-719-2265

Mailing address

202 Rawley Ave
Mount Airy, NC 27030-3530

Phone 336-719-2273 · Fax 336-719-2265

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