Bostick, Gina C.

Bostick, Gina C. is an individual health care provider with primary practice located at 1901 Springlake Dr , Oklahoma City OK 73111-5201. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Bostick, Gina C. can be contacted via phone (405) 521-8486.

Contact Information

Primary practice address
1901 Springlake Dr Oklahoma City OK 73111-5201
Phone: (405) 521-8486
Fax: (405) 521-8496
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 42594 Oklahoma
Dental Providers / General Practice 1223G0001X 42594 Oklahoma

Profile Details

NPI number 1689658700
LBN Legal business name Bostick, Gina C.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2005
Last updated Mar 7th, 2023 - about last year

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 1689658700 NPPES
Oklahoma Other 19915 BNDD
Oklahoma Other 42594 BNDD
Oklahoma MEDICAID 100131420A BNDD

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