Greg L. Gist, DDS

General Practice Dentistry · Southlake, TX

Individual Active NPI

NPI number 1508070095

Practice location

2379 N Carroll Ave
Southlake, TX 76092-3121
Phone
(817) 488-7512
Fax
(817) 481-6302

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NPI record

NPI
1508070095
Entity type
Individual (Type 1)
Enumeration date
May 10, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 14402 TX

About Dr. Gist

Greg L. Gist, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 2379 N Carroll Ave, Southlake, TX 76092-3121. The NPI number 1508070095 was assigned on May 10, 2007 and the record was last updated on July 8, 2007.

Dr. Gist lists a license in the registry: #14402 (TX) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Greg L. Gist, DDS?

The NPI number is 1508070095.

What is the phone number of Dr. Gist?

The phone number listed for the practice location is (817) 488-7512.

Where is Dr. Gist located?

2379 N Carroll Ave, Southlake, TX 76092-3121.

What is the taxonomy code for Dr. Gist?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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