Elizabeth Kelly Gause, DMD
Dentist, General Practice in Gainesville, FL. Individual provider (NPI-1).
NPI number1982196010
StatusActive
Last updated in NPPESApr 20, 2020
Details
- NPI
- 1982196010
- Entity type
- Individual (NPI-1)
- Name
- Elizabeth Kelly Gause
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 4, 2018
- Certification date
- Apr 20, 2020
- Last updated
- Apr 20, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DN23369 | FL | Yes |
Practice location
1010 Nw 76th BlvdGainesville, FL 32606-6747
Phone 523-332-4180
Mailing address
2117 Sw 102nd TerGainesville, FL 32607-3254
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