Gary T. Brewer

NPI #1730222811 in Healdton, Oklahoma

Provider Information

NPI Number: 1730222811
Entity Type: Organization
Organization Name: Gary T. Brewer
Primary Specialty: Dentist - General Practice
Enumeration Date: Feb 15, 2007
Last Updated: Jun 25, 2008

Practice Location

Address: 504 E MAIN ST
City: Healdton
State: Oklahoma
ZIP Code: 73438-1801
Phone: (580) 229-0407

Authorized Official

Name: DR. GARY THOMAS BREWER, DDS
Title: OWNER
Phone: (580) 229-0407

Specialties & Taxonomy Codes

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

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