Provider Demographics
NPI:1801954797
Name:DILLEY, GARY J (DDS MD MS)
Entity type:Individual
Prefix:DR
First Name:GARY
Middle Name:J
Last Name:DILLEY
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Gender:M
Credentials:DDS MD MS
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Mailing Address - Street 1:975 WALNUT ST
Mailing Address - Street 2:SUITE 321
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511
Mailing Address - Country:US
Mailing Address - Phone:919-467-7249
Mailing Address - Fax:919-467-4913
Practice Address - Street 1:975 WALNUT ST
Practice Address - Street 2:SUITE 321
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511
Practice Address - Country:US
Practice Address - Phone:919-467-7249
Practice Address - Fax:919-467-4913
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
NC37831223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics