Elam, Christine Gutierrez

Elam, Christine Gutierrez is an individual health care provider with primary practice located at 66 W Main St , Bronson FL 32621-6338. She recently has 2 registered licenses in different health care specialties including Dental Providers / Pediatric Dentistry, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Elam, Christine Gutierrez can be contacted via phone (352) 486-5300.

Contact Information

Primary practice address
66 W Main St Bronson FL 32621-6338
Phone: (352) 486-5300
Fax: (352) 486-5307
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X DN 15416 Florida
Dental Providers / General Practice 1223G0001X DN15416 Florida

Profile Details

NPI number 1922136092
LBN Legal business name Elam, Christine Gutierrez
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2007
Last updated Mar 7th, 2023 - about last year

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 1922136092 NPPES
Florida MEDICAID 075720900

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