Demetriou, Gary C

Demetriou, Gary C is an sole proprietor health care provider with primary practice located at 198 Massachusetts Ave Suite 202, North Andover MA 01845-4143. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Demetriou, Gary C can be contacted via phone (978) 794-0010.

Contact Information

Primary practice address
198 Massachusetts Ave Suite 202 North Andover MA 01845-4143
Phone: (978) 794-0010
Fax: (978) 683-3790
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 16603 Massachusetts

Profile Details

NPI number 1508946534
LBN Legal business name Demetriou, Gary C
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 16th, 2006
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1508946534 NPPES
Massachusetts Other 16603 LICENSE NUMBER

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