Davis, Gary B
Davis, Gary B is an individual health care provider with primary practice located at 60 Timber Ln , South Burlington VT 05403-7204. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Davis, Gary B can be contacted via phone (802) 264-6909.Contact Information
Primary practice address
60 Timber Ln
South Burlington VT 05403-7204
Phone: (802) 264-6909
Fax: (802) 862-8942
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | Vermont |
Profile Details
| NPI number | 1285734269 |
|---|---|
| LBN Legal business name | Davis, Gary B |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285734269 | NPPES |
| Vermont | MEDICAID | 1005150 |
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