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Gregory Lee Gullikson, DMD
General Practice Dentistry in Titusville, Florida
NPI 1851405732

Gregory Lee Gullikson is a General Practice Dentistry based in Titusville, FL and is specialized in General Practice. Gregory Lee Gullikson practices in Titusville, FL and has the professional credentials of DMD. The NPI Number for Gregory Lee Gullikson is 1851405732 and holds a License No. DN0011987 (Florida).

The current practice location address for Gregory Lee Gullikson is 1853 Knox Mcrae Dr, Titusville, FL and can be reached out via phone at 321-267-2934 and via fax at 321-267-3698.

Location: 1853 Knox Mcrae Dr, Titusville, FL, 32780-5492
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851405732
Provider Name
Gregory Lee Gullikson
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
1853 Knox Mcrae Dr, Titusville, FL, 32780-5492
Phone Number
321-267-2934
Fax Number
321-267-3698
Provider Enumeration Date
08/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
63699 01 FL BCBS PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
1853 Knox Mcrae Dr
City
Titusville
State
Florida
Zip
32780-5492
Phone Number
321-267-2934
Fax Number
321-267-3698
person
Provider Business Mailing Address Details
Address
1853 Knox Mcrae Dr
City
Titusville
State
Florida
Zip
32780-5492
Phone Number
321-267-2934
Fax Number
321-267-3698
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DN0011987 (Florida)
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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