Bird, Gerald William
Bird, Gerald William is an individual health care provider with primary practice located at 96 Willard St Suite 105, Cocoa FL 32922-7991. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Bird, Gerald William can be contacted via phone (321) 631-7000.Contact Information
Primary practice address
96 Willard St Suite 105
Cocoa FL 32922-7991
Phone: (321) 631-7000
Fax: (321) 631-5135
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 10251 | Florida |
Profile Details
| NPI number | 1013067859 |
|---|---|
| LBN Legal business name | Bird, Gerald William |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 12th, 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.
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