Gary Edward Drake, DDS

Dentist · Belleville, IL

Individual Active NPI

NPI number 1770694358

Practice location

1108 S 74TH St
Belleville, IL 62223-3535
Phone
(618) 397-2377
Fax
(618) 397-2383

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NPI record

NPI
1770694358
Entity type
Individual (Type 1)
Enumeration date
August 31, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X — IL

About Dr. Drake

Gary Edward Drake, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 1108 S 74TH St, Belleville, IL 62223-3535. The NPI number 1770694358 was assigned on August 31, 2006 and the record was last updated on July 8, 2007.

Frequently asked questions

What is the NPI number of Gary Edward Drake, DDS?

The NPI number is 1770694358.

What is the phone number of Dr. Drake?

The phone number listed for the practice location is (618) 397-2377.

Where is Dr. Drake located?

1108 S 74TH St, Belleville, IL 62223-3535.

What is the taxonomy code for Dr. Drake?

The primary taxonomy code is 122300000X – Dentist.

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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