Provider Demographics
NPI:1437464377
Name:WARNER, GARY ANDREW (DMD, MS)
Entity type:Individual
Prefix:DR
First Name:GARY
Middle Name:ANDREW
Last Name:WARNER
Suffix:
Gender:M
Credentials:DMD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2338 S BUCKNER BLVD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75227-8605
Mailing Address - Country:US
Mailing Address - Phone:214-388-2800
Mailing Address - Fax:972-499-6500
Practice Address - Street 1:2338 S BUCKNER BLVD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75227-8605
Practice Address - Country:US
Practice Address - Phone:214-388-2800
Practice Address - Fax:972-499-6500
Is Sole Proprietor?:No
Enumeration Date:2010-08-16
Last Update Date:2011-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX00262411223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics