DR. GARY HAROLD DWIGHT (NPI# 1255333431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255333431 |
| Entity Type | Individual |
| Full Name | DR. GARY HAROLD DWIGHT |
| Credential | D.D.S., M.S. |
| Practice Address |
818 W Lake Lansing Rd East Lansing MI 48823-1308 |
| Mailing Address |
6400 Pine Hollow Dr East Lansing MI 48823-9737 |
| Practice Telephone | 5173339500 |
| Practice Fax Number | 5173339509 |
| Mailing Telephone | 5173391812 |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2008-04-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
D10120 | MI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 2985740 | 05 | |
| MI | 4045412 | 05 |
| Street Address |
818 W LAKE LANSING RD |
| City | EAST LANSING |
| State | MI |
| Zip Code | 48823-1308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265040539 | Blake Ramos | Dentist | 818 W Lake Lansing Rd, East Lansing, MI 48823-1308 | 2020-07-22 |
| 1811482565 | Elan Lake Lansing | Clinic/Center | 818 W Lake Lansing Rd, East Lansing, MI 48823-1308 | 2018-06-26 |
| 1023296571 | Gary H. Dwight, D.d.s., P.C. | Clinic/Center | 818 W Lake Lansing Rd, East Lansing, MI 48823-1308 | 2008-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144848631 | Joseph Santangelo | Technician | 2775 E Lansing Dr, East Lansing, MI 48823 | 2020-07-10 |
| 1679197701 | Alexandra Megan Bauer | Technician | 3839 Hunsaker Street, 121, East Lansing, MI 48823 | 2020-06-04 |
| 1689297756 | Nathan Barnhurst | Neuromusculoskeletal Medicine & OMM | 4660 Hagadorn Rd #500, East Lansing, MI 48823 | 2020-05-25 |
| 1861036006 | Rachel Amber Kelly | Registered Nurse | 221 W Lake Rd, #300, East Lansing, MI 48823 | 2019-10-31 |
| 1982176442 | Thomas Patrick Lilley | Occupational Therapist | 2900 Hannah Blvd. - Suite B102, East Lansing, MI 48823 | 2018-12-21 |
| 1386114684 | Anne Colleen Jack | Social Worker | 3100 West Road, East Lansing, MI 48823 | 2018-11-29 |
| 1346721420 | Mary Ann Malosh | Health Educator | 6265 Fenwick Ct, East Lansing, MI 48823 | 2018-08-27 |
| 1639668734 | Jennifer Lynn Box | Occupational Therapist | 2900 Hannah Blvd Ste. B102, Outpatient Rehab, East Lansing, MI 48823 | 2018-05-03 |
| 1598267288 | Wise Willow Counseling & Consulting LLC | Social Worker | 2875 Northwind Dr Ste 215, East Lansing, MI 48823 | 2018-03-08 |
| 1184142010 | Carlrianna Taylor | Technician | 2775 E Lansing Rd, E Lansing, MI 48823 | 2017-08-30 |
| Find all providers in zip 48823 | ||||
| Taxonomy Code | 1223P0106X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Pathology |
| The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508805607 | Joseph Vincent Mauro | Dentist | 231 W. Lake Lansing Rd, Suite 200, East Lansing, MI 48823-8451 | 2006-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942468186 | Mid Michigan Oral Surgery | Dentist | 1040 Charlevoix Dr, Grand Ledge, MI 48837-2417 | 2008-05-23 |
| 1669675567 | Oral and Maxillofacial Surgery Associates | Dentist | 785 E M32, Gaylord, MI 49735 | 2007-06-07 |
| 1235273152 | Oral and Maxillofacial Surgery Associates of Michigan, P.C. | Dentist | 32905 W 12 Mile Rd Ste 200, Farmington Hills, MI 48334-3344 | 2007-02-16 |
| 1548283559 | Oral and Maxillofacial Surgery Services, Plc | Dentist | 4500 Cascade Rd Se, Suite #208, Grand Rapids, MI 49546-3665 | 2006-07-25 |
| 1063440543 | Fredric L Bonine | Dentist | 6893 Grand River Rd, Brighton, MI 48114-9345 | 2006-06-30 |
| 1952397093 | Arvind Gulati | Dentist | 23655 Novi Rd Ste 103, Novi, MI 48375-5442 | 2005-09-23 |
| 1831194141 | Edwin J., Jr. Rennell | Dentist | 34441 8 Mile Rd, Ste 107, Livonia, MI 48152-4013 | 2005-06-15 |
| 1588900518 | Chia-cheng Li | Dentist | 1011 N University Ave, Ann Arbor, MI 48109-1078 | 2012-12-19 |
| 1285889709 | Regents of The University of Michigan Oral Pathology | Dentist | 1011 N University Ave, Ann Arbor, MI 48109-1078 | 2008-11-25 |
| 1427175751 | Roger P Hitchcock | Dentist | 2058 S State St, Suite 100, Ann Arbor, MI 48104-4786 | 2007-03-23 |
| Find all providers with the same taxonomy | ||||
| City | EAST LANSING |
| Zip Code | 48823 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.