Gordon Joseph Miniclier, DDS PC
General Practice Dentistry · Independence, VA
Practice location
150 West Main StreetIndependence, VA 24348-0560
- Phone
- (276) 773-3521
- Fax
- (276) 773-3822
NPI record
- NPI
- 1881768166
- Entity type
- Individual (Type 1)
- Enumeration date
- November 20, 2006
- Last updated
- July 8, 2007
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Dentistry Primary | 1223G0001X |
0401005508 | VA |
Mailing address
PO Box 560150 West Main Street
Independence, VA 24348-0560
- Phone
- (276) 773-3521
- Fax
- (276) 773-3822
About Gordon Miniclier
Gordon Joseph Miniclier, DDS PC is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 150 West Main Street, Independence, VA 24348-0560. The NPI number 1881768166 was assigned on November 20, 2006 and the record was last updated on July 8, 2007.
Gordon Miniclier lists a license in the registry: #0401005508 (VA) 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 Gordon Joseph Miniclier, DDS PC?
The NPI number is 1881768166.
What is the phone number of Gordon Miniclier?
The phone number listed for the practice location is (276) 773-3521.
Where is Gordon Miniclier located?
150 West Main Street, Independence, VA 24348-0560.
What is the taxonomy code for Gordon Miniclier?
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.