Gregory Wallace Gatrell, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5927403-9923 Issued in UT

Practice address

2015 S 1300 E
Salt Lake City, UT 84105-3658

Phone

(801) 485-5952

Fax

(801) 485-5965

NPI assigned

Jan 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• G W Gatrell DDS PC

  • Dental Clinic/Center
  • SLC, UT
  • NPI 1386224467
  NPD (past)

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1912977752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 S 1300 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841053658",
            "telephone_number": "801-485-5952",
            "fax_number": "801-485-5965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 S 1300 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841053658",
            "telephone_number": "801-485-5952",
            "fax_number": "801-485-5965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATRELL",
        "first_name": "GREGORY",
        "middle_name": "WALLACE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "5927403-9923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gateway Academy, LLC
• Gateway Academy, LLC
• Gateway Aestheetic Institute& Laser Center
• Gateway Aesthetic Institute & Laser Center
• Steven Gatherum, RPT
• Rebecca Gatrell
• Laura Christine Gatten, CRT
• Paul Allen Gatton, CPSS
• Lisa Gauchay, LCSW
• Sandra Lynn Gaughan

• General Practice Dentistry in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• General Practice Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; 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.