Dent, Gary L

Dent, Gary L is an individual health care provider with primary practice located at 620 W Brown St , Waupun WI 53963-1702. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Dent, Gary L can be contacted via phone (920) 926-8332.

Contact Information

Primary practice address
620 W Brown St Waupun WI 53963-1702
Phone: (920) 926-8332
Fax: (920) 926-8370
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 84878 Wisconsin

Profile Details

NPI number 1265519714
LBN Legal business name Dent, Gary L
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Nov 12th, 2014 - about 11 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 1265519714 NPPES
Wisconsin MEDICAID 43303300

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