Craig, Berkley Gordon

Craig, Berkley Gordon is an individual health care provider with primary practice located at 714 N Alleghaney Ave , Odessa TX 79761-4410. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Craig, Berkley Gordon can be contacted via phone (432) 337-2042.

Contact Information

Primary practice address
714 N Alleghaney Ave Odessa TX 79761-4410
Fax: (432) 337-2869
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 17949 Texas

Profile Details

NPI number 1831319797
LBN Legal business name Craig, Berkley Gordon
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 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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