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Roy E Gaines JR., DDS,MD
Oral and Maxillofacial Surgery (Dentist) in Raleigh, North Carolina
NPI 1679675292

Roy E Gaines JR. is a Oral and Maxillofacial Surgery (Dentist) based in Raleigh, NC and is specialized in Oral and Maxillofacial Surgery. Roy E Gaines JR. practices in Raleigh, NC and has the professional credentials of DDS,MD. The NPI Number for Roy E Gaines JR. is 1679675292 and holds a License No. 5589 (North Carolina).

The current practice location address for Roy E Gaines JR. is 4201 Lake Boone Trl, Raleigh, NC and can be reached out via phone at 919-787-3949 and via fax at 919-787-7634.

Location: 4201 Lake Boone Trl, Raleigh, NC, 27607-7512
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679675292
Provider Name
Roy E Gaines JR.
Credential
DDS,MD
Provider Entity Type
Individual
Gender
Male
Address
4201 Lake Boone Trl, Raleigh, NC, 27607-7512
Phone Number
919-787-3949
Fax Number
919-787-7634
Provider Enumeration Date
09/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8993014 05 NC
institution
Provider Business Practice Location Address Details
Address
4201 Lake Boone Trl
City
Raleigh
State
North Carolina
Zip
27607-7512
Phone Number
919-787-3949
Fax Number
919-787-7634
person
Provider Business Mailing Address Details
Address
4201 Lake Boone Trl
City
Raleigh
State
North Carolina
Zip
27607-7512
Phone Number
919-787-3949
Fax Number
919-787-7634
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
5589 (North Carolina)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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