Ronald Dale Gaitros, D.D.S., M.S.

Primary specialty

Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X

License

5707 Issued in NC

Practice address

1122 Medical Center Dr
Wilmington, NC 28401-7305

Phone

(910) 762-2618

Fax

(910) 763-5173

NPI assigned

Oct 10, 2005

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294358400000",
    "number": "1942298443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 MEDICAL CENTER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017305",
            "telephone_number": "910-762-2618",
            "fax_number": "910-763-5173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 MEDICAL CENTER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017305",
            "telephone_number": "910-762-2618",
            "fax_number": "910-763-5173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAITROS",
        "first_name": "RONALD",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-10",
        "last_updated": "2011-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "NC",
            "license": "5707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD #",
            "identifier": "93034",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8993034",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Gagliardi, AU.D
• Marybeth Gaiani, LCMHA
• James A Gainer, DDS
• Paul Vincent Gainey III, R.PH.
• Lauren H. Gainor, MD
• Walter Gajewski, MD
• Abigail Galan-Drye, LPT
• Stelios Lambros Galantis, PHARMD
• Galarza Psychological Services PLLC
• Aitza Galarza-Hernandez, PH.D.

• Oral and Maxillofacial Pathology Dentistry in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Oral and Maxillofacial Pathology Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2011; 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.