Gayle J Fletcher, DDS
Individual provider Active NPI General Practice Dentistry · Willis, TX
NPI 1649369786 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1649369786
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 16498 (TX)
- Practice address
- 904 W Montgomery
Suite 7
Willis, TX 77378 - Phone
- (936) 856-9969
- Fax
- (936) 856-9970
- NPI assigned
- Oct 12, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|
| 16498 | TX | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 16498 | TX | Yes |
Addresses
Primary practice location
904 W Montgomery
Suite 7
Willis, TX 77378
Mailing address
904 W Montgomery
Suite 7
Willis, TX 77378
Phone (936) 856-9969
Other providers in Willis, TX
- Bohan Farrell
- Glenna Ferguson
- Troy Scott Ferguson
- Find Out Dna & Drug Testing
- Nesha Leigh Flagg
- Heather Flynn
- Nicholas Mtchell Franovich
- Anjanette Jo Gardner-Lynch
- Crystal Ann Garza
- Matthew Joseph Gensler
All providers in Willis, 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.