Gary Edward Drosback Jr., D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4336 Issued in NC

Practice address

403-C Parkway Drive
Greensboro, NC 27401-1653

Phone

(336) 378-1045

NPI assigned

Oct 19, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192752000000",
    "number": "1104015684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403-C PARKWAY DRIVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011653",
            "telephone_number": "336-378-1045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403-C PARKWAY DRIVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011653",
            "telephone_number": "336-378-1045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DROSBACK",
        "first_name": "GARY",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-19",
        "last_updated": "2007-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "4336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "52247",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian William Dresser, PA-C
• Leena Carissa Drew, DNP, FNP-C
• Kristin Drinkard, LCSWA
• Sue Ellen Drinkard, FNP
• Kathleen Hedeler Driscoll, LPCA
• DRS Beavers and Keating
• DRS Bhadani and Durshanapalli PLLC
• DRS Norman & Gill
• DRS Roberts Reimels and Kashyap PLLC
• DRS. Agero, Hughes & Associates, PA

• General Practice Dentistry in Greensboro, NC
• Providers in Greensboro, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.