Baez Gutierrez, Alejandro Jose
Baez Gutierrez, Alejandro Jose is an sole proprietor health care provider with primary practice located at 201 N Lakemont Ave Ste 700 , Winter Park FL 32792-3200. He recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Periodontics. Dental Providers / Periodontics is his primary health care specialty. Baez Gutierrez, Alejandro Jose can be contacted via phone (407) 629-6400.Contact Information
Primary practice address
201 N Lakemont Ave Ste 700
Winter Park FL 32792-3200
Phone: (407) 629-6400
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 060602 | New York |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Dental Providers / Periodontics | 1223P0300X | 28929 | Florida |
Profile Details
NPI number | 1114420627 |
---|---|
LBN Legal business name | Baez Gutierrez, Alejandro Jose |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 10th, 2018 |
Last updated | Jul 8th, 2024 - about 5 months 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1114420627 | NPPES |
Florida | Other | 28929 | FLORIDA DENTAL LICENSE |
Florida | Other | 060602 | FLORIDA DENTAL LICENSE |
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