Gary M Easley, DDS
Individual provider Active NPI General Practice Dentistry · Comanche, TX
NPI 1629286182 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1629286182
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 11309 (TX)
- Practice address
- 203 Valley Forge St
Comanche, TX 76442 - Phone
- (325) 356-5263
- Fax
- (325) 356-2875
- NPI assigned
- May 18, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| 11309 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ryan L Seegmiller, DDS, PLLC | Past | Accepting new patients | |
| Gary M Easley, DDS Inc | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 11309 | TX | Yes |
Addresses
Primary practice location
203 Valley Forge St
Comanche, TX 76442
Mailing address
PO Box 705
Comanche, TX 76442-0705
Phone (325) 356-5263
Other providers in Comanche, TX
- Guyle P Donham
- Dr S Howard Dickey DO PA
- Dr. Raymond W. Stepp, P.C.
- Dwayne C. Miller
- Sara D Eaker
- Emily Jeannene Ellis
- Peter G. Fagan
- Faithgracejoy, PLLC
- Gary M Easley, DDS Inc
- Ricky Leon Goodner
All providers in Comanche, 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 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.