Amsili, Gloria Michelle

Amsili, Gloria Michelle is an individual health care provider with primary practice located at 1110 W William Cannon Dr Suite 401, Austin TX 78745-5468. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Amsili, Gloria Michelle can be contacted via phone (512) 445-5811.

Contact Information

Primary practice address
1110 W William Cannon Dr Suite 401 Austin TX 78745-5468
Phone: (512) 445-5811
Fax: (512) 445-5721
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 16889 Texas

Profile Details

NPI number 1104908524
LBN Legal business name Amsili, Gloria Michelle
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2006
Last updated Jul 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104908524 NPPES
Texas MEDICAID 136340010

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