Aaron, Gavin Malcolm

Aaron, Gavin Malcolm is an individual health care provider with primary practice located at 3005 Peters Creek Rd Nw , Roanoke VA 24019-2738. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Aaron, Gavin Malcolm can be contacted via phone (540) 562-3166.

Contact Information

Primary practice address
3005 Peters Creek Rd Nw Roanoke VA 24019-2738
Phone: (540) 562-3166
Fax: (540) 562-0760
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 0401410685 Virginia

Profile Details

NPI number 1114136926
LBN Legal business name Aaron, Gavin Malcolm
Credentials DDS, MS
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers