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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DENTRAVIOUS GATES

Active Sole Proprietor

DENTRAVIOUS GATES is a Physical Medicine & Rehabilitation healthcare provider located in BALDWYN, Mississippi. NPI 1992534044 is currently active in the NPPES registry. Verify at CMS.

Physical Medicine & Rehabilitation · BALDWYN, MS

Registration Details

NPI Number
1992534044
Provider Type
Individual
Gender
Male
NPI Issued
Jul 29, 2024 (2.0787475864587 yrs)
Last Updated
Jul 29, 2024
License
6841 (MS)
Sole Proprietor
Yes

Practice Information

Address
220 HILL TOP HTS
BALDWYN, MS, 388249783
Browse MS providers · Browse ZIP 38824
Phone
6622166672
Primary Specialty
Physical Medicine & Rehabilitation
208100000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.