Gary Michael Davirro, DDS
Individual provider Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Solvang, CA
NPI 1104910173 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1104910173
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
- License
- 24284 (CA)
- Practice address
- 680 Alamo Pintado Rd
Suite 203
Solvang, CA 93463-2204 - Phone
- (805) 688-1862
- Fax
- (805) 688-2603
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 24284 | CA | Yes |
Addresses
Primary practice location
680 Alamo Pintado Rd
Suite 203
Solvang, CA 93463-2204
Mailing address
680 Alamo Pintado Rd
Suite 203
Solvang, CA 93463-2204
Phone (805) 688-1862
Other providers in Solvang, CA
- Stephanie Cree
- Corinne Jo Curtis
- Gustavo Adolfo Dascanio
- Claudia Lorraine Davenport
- David C Seltzer M.D. a Medical Corporation
- Archibald Aviado Dizon
- Margaret Dodson
- Andrea Dominic
- Beth Michelle Donati
- Janine Elise Doolan
All providers in Solvang, CA · Orthodontics and Dentofacial Orthopedics Dentistry in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.