Dr. Gary Harold Dwight
Oral and Maxillofacial Pathology
818 W Lake Lansing Rd
East Lansing
, Michigan 48823-1308
Dr. Gary Harold Dwight
Oral and Maxillofacial Pathology
818 W Lake Lansing Rd
East Lansing
, Michigan 48823-1308
(517) 339-1812
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About
Features
Specialties
- Oral and Maxillofacial Pathology
Languages spoken
- English
Location
First Address
- Dr. Gary Harold Dwight
- 6400 Pine Hollow Dr
- East Lansing, MI
- Zip : 48823-9737
- Phone : (517) 339-1812
Second Address
- Dr. Gary Harold Dwight
- 818 W Lake Lansing Rd
- East Lansing, MI
- Zip : 48823-1308
- Fax : (517) 333-9509
- Phone : (517) 333-9500
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0106X | Oral and Maxillofacial Pathology | D10120 | MI |
National Provider Identifier
| NPI | 1255333431 |
|---|---|
| Provider Name | Dr. Gary Harold Dwight |
| First Address | East Lansing, MI 48823-9737 |
| Second Address | East Lansing, MI 48823-1308 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/06/2005 |
| Last Update Date | 02/04/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2985740 | (05) | MI |
| 4045412 | (05) | MI |
| T82817 | (02) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.