DR. ROBERT KYLE GAZDECK (NPI# 1316323678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316323678 |
| Entity Type | Individual |
| Full Name | DR. ROBERT KYLE GAZDECK |
| Credential | D.D.S. |
| Practice Address |
3709 University Dr Ste D Durham NC 27707 |
| Mailing Address |
3709 University Dr Ste D Durham NC 27707-6224 |
| Practice Telephone | 9194898661 |
| Mailing Telephone | 9194898661 |
| Enumeration Date | 2015-08-09 |
| Last Update Date | 2018-09-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 019029821 | IL | Dental Providers |
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
10308 | NC | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 326 W 64th St, Chicago, IL 606213114 | 7739623976 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811069859 | Robert L Gazdeck | Optometrist | 3240 Wilkinson Blvd, Charlotte, NC 28208-5630 | 2006-11-14 |
| Street Address |
3709 UNIVERSITY DR STE D |
| City | DURHAM |
| State | NC |
| Zip Code | 27707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538785928 | Ceara Smith | Social Worker | 1415 W Nc 54 Buidling 200, Suite 111, Durham, NC 27707 | 2020-06-22 |
| 1114554094 | Lauren Michelle Grosse | Physician Assistant | Fastmed Urgent Care 7010 Nc-751, Durham, NC 27707 | 2020-03-23 |
| 1386289635 | Ashley Bailey | Counselor | 1801 Fayetteville Street, Durham, NC 27707 | 2019-11-11 |
| 1881249886 | Erin Ramona Leger | Physical Therapist | 3706 Mayfair St, Ste 120, Durham, NC 27707 | 2019-08-06 |
| 1417417262 | Carmen Elisabeth Sanchez | Psychologist | 3326 Durham Chapel Hill Blvd Bldg D, Durham, NC 27707 | 2019-03-20 |
| 1477026144 | Pope Behavioral Health and Wellness | Counselor | 5102 Chapel Hill Durham Blvd., Suite 101, Durham, NC 27707 | 2019-01-06 |
| 1043780778 | Jessica Ann Revels | Counselor | 1415 West North Carolina 54, Building 100 Suite # 204, Durham, NC 27707 | 2018-11-26 |
| 1558830125 | Michael Brown | Counselor | 1502 W Nc-54, Suite 505, Durham, NC 27707 | 2018-11-13 |
| 1780152827 | Cassandra Gerwig Shaw | Registered Nurse | 5324 Mcfarland Dr Ste 310, Durham, NC 27707 | 2018-11-07 |
| 1942776232 | Lisa J Keskitalo | Physical Therapist | 3708 Mayfair St Ste 120, Durham, NC 27707 | 2018-10-15 |
| Find all providers in zip 27707 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477723583 | William D Gates | Dentist | 3622 Shannon Rd, Suite 101, Durham, NC 27707-3771 | 2008-03-04 |
| 1073727178 | Ivelis Hernandez-ramirez | Dentist | 3622 Shannon Rd Ste 101, Durham, NC 27707-3771 | 2007-05-09 |
| 1043238561 | James A. Hoke | Dentist | 3709 University Dr, Suite D, Durham, NC 27707-6224 | 2006-07-17 |
| 1700888062 | Mark S. Scurria | Dentist | 1920 E Chapel Hill Nelson Hwy, Ste 410, Durham, NC 27713-2262 | 2005-06-01 |
| 1144782509 | Lasanta & Hernandez Pllc | Dentist | 3622 Shannon Rd Ste 101, Durham, NC 27707-3771 | 2019-04-04 |
| 1225466584 | Bill Gates Dds Ms | Dentist | 3622 Shannon Rd, Suite 101, Durham, NC 27707-3771 | 2013-10-24 |
| 1932267440 | Lisa Onufrak Stoner | Dentist | 811 9th St, Suite 280, Durham, NC 27705-4149 | 2006-12-05 |
| 1881609592 | James A. Hoke Dds Ms Pa | Dentist | 3709 University Dr, Durham, NC 27707-6224 | 2006-07-30 |
| 1043250897 | Douglas Ray Mcarthur | Dentist | 508 Fulton St, Durham, NC 27705-3875 | 2006-06-08 |
| 1740242734 | James T White | Dentist | 508 Fulton St, Durham, NC 27705-3875 | 2006-04-05 |
| Find all providers in DURHAM | ||||
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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.