Dr. Roger Edmund Gravel is a Winston Salem, North Carolina based Dentist who is specialized in
General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Roger Edmund Gravel is
4436 for General Practice Dentistry in North Carolina. His current practice location is
201 Charlois Blvd, Winston Salem. Patients can reach him at
336-718-1869.
Dr. Roger Edmund Gravel is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Roger Edmund Gravel speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Roger Edmund Gravel |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | D.D.S. |
| Accepts Medicare Assignment: | No |
| Practice Address: | 201 Charlois Blvd, Winston Salem,
North Carolina, 27103-1507 |
| Phone: | 336-718-1869 |
| Fax: | 336-718-1835 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1639195563 |
| NPI Enumeration Date: | 14 Jul, 2006 |
| NPI Last Update On: | 08 Jul, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Roger Edmund Gravel are as mentioned below.
| License Number | Specialization | State | Status | |
| 4436 | General Practice Dentistry | North Carolina | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Roger Edmund Gravel such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 4436 | Other | North Carolina | DENTAL LICENCE |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1601 Yarmouth Ln,
Clemmons, North Carolina |
| Zip: | 27012-8001 |
| Phone Number: | 336-945-9004 |
| Fax Number: | 336-718-1835 |
Patients can reach Dr. Roger Edmund Gravel at
201 Charlois Blvd, Winston Salem, North Carolina or can
call to book an appointment on 336-718-1869.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.