Individual provider · Type 1 NPI
Gary Stewart Fries, DDS
Oral and Maxillofacial Surgery (Dentist) · Victoria, TX
NPI number
1396894515
Active
Practice location
111 Professional Park Dr
Victoria, TX 77904-2351
Fax (361) 578-0240
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 17713 (TX) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Another provider at this address
About NPI 1396894515
Gary Stewart Fries, DDS's National Provider Identifier is 1396894515, issued on Jan 9, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Victoria, TX. The record was last updated on Jul 8, 2007.