Gaitros Dental Center

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

GAITROS DENTAL CENTER

Practice address

1080 E Mound Rd
Decatur, IL 62526-9385

Phone

(218) 750-5020

Fax

(217) 875-0235

NPI assigned

Jan 6, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Leeanne Oakley

Title

Office Manager

Phone

(217) 875-5020

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Scott T Gaitros, DMD

  • General Practice Dentistry
  • Decatur, IL
  • NPI 1376609354
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1231200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231200000000",
    "number": "1740426188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 E MOUND RD",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625269385",
            "telephone_number": "217-875-5020",
            "fax_number": "217-875-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 E MOUND RD",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625269385",
            "telephone_number": "218-750-5020",
            "fax_number": "217-875-0235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAITROS DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-06",
        "last_updated": "2009-01-06",
        "status": "A",
        "authorized_official_last_name": "OAKLEY",
        "authorized_official_first_name": "LEEANNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "217-875-5020"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacia Gadson, LMSW
• Stephanie Gaede
• Stephanie Gagnon, LCPC
• Gailey Eye Surgery-Decatur LLC
• Janet L Gaither, CRNA
• Scott T Gaitros, DMD
• Katlynn Gallup
• Donald A Galvin, PA-C
• Ishandeep S Gandhi
• Payal Gandhi, MPT

• Dentist in Decatur, IL
• Providers in Decatur, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.