Gregory V McGowan DDS PC

Organization Active NPI General Practice Dentistry · Mooresville, IN

NPI 1295030625 · NPPES record last updated Jan 15, 2011

Key facts

NPI
1295030625
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
12008711 (IN)
Legal business name
GREGORY V MCGOWAN DDS PC
Practice address
21 E Main St
Mooresville, IN 46158-1403
Phone
(317) 831-4757
Fax
(317) 831-4797
NPI assigned
Jan 15, 2011
Organization subpart
No

Authorized official

Name
Dr. Gregory V McGowan, DDS
Title
Dentist
Phone
(317) 831-4757

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

21 E Main St
Mooresville, IN 46158
Phone (317) 831-4757

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X 12008711 IN Yes

Addresses

Primary practice location

21 E Main St
Mooresville, IN 46158-1403

Mailing address

21 E Main St
Mooresville, IN 46158-1403
Phone (317) 831-4757

Other providers in Mooresville, IN

All providers in Mooresville, IN · General Practice Dentistry in Indiana

Sources for this page

Verify at the official NPI Registry.