Dolgash, Gerald George
Dolgash, Gerald George is an individual health care provider with primary practice located at 3924 Martin Way E , Olympia WA 98506-5220. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Pathology, which is considered as his primary health care specialty. Dolgash, Gerald George can be contacted via phone (360) 456-8610.Contact Information
Primary practice address
3924 Martin Way E
Olympia WA 98506-5220
Phone: (360) 456-8610
Fax: (360) 493-8179
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Oral and Maxillofacial Pathology | 1223P0106X | 4068 | Washington |
Profile Details
NPI number | 1912079112 |
---|---|
LBN Legal business name | Dolgash, Gerald George |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 14th, 2006 |
Last updated | Jun 19th, 2008 - 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 | 1912079112 | NPPES |
Other | 1912079112 | NPI | |
MEDICAID | 5005046 | NPI |
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