Fraser, Gordon Cleland
Fraser, Gordon Cleland is an sole proprietor health care provider with primary practice located at 1916 Iris Drive , Conyers GA 30094. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Fraser, Gordon Cleland can be contacted via phone (770) 483-4469.Contact Information
Primary practice address
1916 Iris Drive
Conyers GA 30094
Phone: (770) 483-4469
Fax: (770) 922-0401
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | DN012684 | Georgia |
Profile Details
| NPI number | 1306034871 |
|---|---|
| LBN Legal business name | Fraser, Gordon Cleland |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 10th, 2007 |
| Last updated | May 3rd, 2016 - about 8 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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