Dwight, Gary Harold
Dwight, Gary Harold is an individual health care provider with primary practice located at 818 W Lake Lansing Rd , East Lansing MI 48823-1308. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Pathology, which is considered as his primary health care specialty. Dwight, Gary Harold can be contacted via phone (517) 333-9500.Contact Information
Primary practice address
818 W Lake Lansing Rd
East Lansing MI 48823-1308
Phone: (517) 333-9500
Fax: (517) 333-9509
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Pathology | 1223P0106X | D10120 | Michigan |
Profile Details
| NPI number | 1255333431 |
|---|---|
| LBN Legal business name | Dwight, Gary Harold |
| Credentials | D.D.S., M.S. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2005 |
| Last updated | Apr 2nd, 2008 - about 16 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 | 1255333431 | NPPES |
| Michigan | MEDICAID | 4045412 | |
| Michigan | MEDICAID | 2985740 |
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