Casey, Gregory M
Casey, Gregory M is an sole proprietor health care provider with primary practice located at 3388 Woods Edge Cr Ste #103, Bonita Springs FL 34134. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Casey, Gregory M can be contacted via phone (239) 947-6637.Contact Information
Primary practice address
3388 Woods Edge Cr Ste #103
Bonita Springs FL 34134
Phone: (239) 947-6637
Fax: (239) 947-3223
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | DN17367 | Florida |
Profile Details
| NPI number | 1922076348 |
|---|---|
| LBN Legal business name | Casey, Gregory M |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 10th, 2006 |
| Last updated | Feb 16th, 2017 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922076348 | NPPES |
| Florida | MEDICAID | 076081100 |
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