Ace, Gary Lee

Ace, Gary Lee is an individual health care provider with primary practice located at 1505 W 12Th Ave , Emporia KS 66801-2457. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Ace, Gary Lee can be contacted via phone (620) 342-9555.

Contact Information

Primary practice address
1505 W 12Th Ave Emporia KS 66801-2457
Fax: (620) 343-0018
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 4735 Kansas

Profile Details

NPI number 1316988207
LBN Legal business name Ace, Gary Lee
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Jul 8th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316988207 NPPES
Kansas Other 7914 BLUE CROSS BLUE SHIELD

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