Scott T Gaitros, DMD

NPI #1376609354 in Decatur, Illinois

Provider Information

NPI Number: 1376609354
Entity Type: Individual
Name: Scott T Gaitros, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Dec 28, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1080 E MOUND RD
City: Decatur
State: Illinois
ZIP Code: 62526-9385
Phone: (217) 875-5020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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