Gary Wayne Driver, D.D.S.
Individual provider Active NPI General Practice Dentistry · Huntington, TX
NPI 1164542841 · NPPES record last updated Jan 26, 2011
Key facts
- NPI
- 1164542841
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 15402 (TX)
- Practice address
- 1202 N Main St
Huntington, TX 75949-8424 - Phone
- (936) 422-4211
- NPI assigned
- Mar 29, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15402 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smilesfromrainapllc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 15402 | TX | Yes |
Addresses
Primary practice location
1202 N Main St
Huntington, TX 75949-8424
Mailing address
PO Box 1078
Huntington, TX 75949-1078
Phone (936) 422-4211
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1208209-03 | Medicaid | TX |
Other providers in Huntington, TX
- Shelby Lauren Bryan
- Michelle Compton
- Angela Lynn Day
- Distinct Focus on Life LP
- Jamie Dominy
- East Texas Acquisitions
- East TX DME Supply Inc
- Linda F Havard
- Huntington Health Care & Rehabilitation Center LTD.
- Huntington Independent School District
All providers in Huntington, TX · General Practice Dentistry in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2011. 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.