Basic Information
| Provider Information | |||||||||
| NPI: | 1528284643 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | GURECKY | ||||||||
| FirstName: | DARRYL | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | D.D.S. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9717 N NEVADA ST | ||||||||
| Address2: | |||||||||
| City: | SPOKANE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 992183412 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5094673315 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 9717 N NEVADA ST | ||||||||
| Address2: | |||||||||
| City: | SPOKANE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 992183412 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5094673315 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/17/2007 | ||||||||
| LastUpdateDate: | 05/05/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 122300000X | 16501 | TX | N | Dental Providers | Dentist | 122300000X | DE00010837 | WA | Y | Dental Providers | Dentist |
No ID Information.