Chike, Gary Eugene
Chike, Gary Eugene is an individual health care provider with primary practice located at 506 Hwy 80 W Dental Clinic, Pooler GA 31322-2104. He recently has only one registered license in Dental Providers / Dental Public Health, which is considered as his primary health care specialty. Chike, Gary Eugene can be contacted via phone (912) 656-8728.Contact Information
Primary practice address
506 Hwy 80 W Dental Clinic
Pooler GA 31322-2104
Phone: (912) 656-8728
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Public Health | 1223D0001X | DN012363 | Georgia |
Profile Details
| NPI number | 1912004359 |
|---|---|
| LBN Legal business name | Chike, Gary Eugene |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Oct 22nd, 2009 - about 15 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 | 1912004359 | NPPES |
| Georgia | MEDICAID | 000937428E |
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