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Dr. Roger Edmund Gravel, DDS
General Practice Dentistry in Winston Salem, North Carolina
NPI 1639195563

Roger Edmund Gravel is a General Practice Dentistry based in Clemmons, NC and is specialized in General Practice. Roger Edmund Gravel practices in Winston Salem, NC and has the professional credentials of DDS. The NPI Number for Roger Edmund Gravel is 1639195563 and holds a License No. 4436 (North Carolina).

The current practice location address for Roger Edmund Gravel is 201 Charlois Blvd, Winston Salem, NC and can be reached out via phone at 336-718-1869 and via fax at 336-718-1835.

Location: 201 Charlois Blvd, Winston Salem, NC, 27012-8001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639195563
Provider Name
Roger Edmund Gravel
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
201 Charlois Blvd, Winston Salem, NC, 27012-8001
Phone Number
336-718-1869
Fax Number
336-718-1835
Provider Enumeration Date
07/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4436 01 NC DENTAL LICENCE
institution
Provider Business Practice Location Address Details
Address
201 Charlois Blvd
City
Winston Salem
State
North Carolina
Zip
27103-1507
Phone Number
336-718-1869
Fax Number
336-718-1835
person
Provider Business Mailing Address Details
Address
201 Charlois Blvd
City
Winston Salem
State
North Carolina
Zip
27103-1507
Phone Number
336-718-1869
Fax Number
336-718-1835
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
4436 (North Carolina)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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