Gagliardo, Kyle David
Gagliardo, Kyle David is an individual health care provider with primary practice located at 2820 Aaa Ct , Bettendorf IA 52722-6752. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Gagliardo, Kyle David can be contacted via phone (563) 449-9055.Contact Information
Primary practice address
2820 Aaa Ct
Bettendorf IA 52722-6752
Phone: (563) 449-9055
Fax: (563) 449-9056
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 07929 | Iowa |
Profile Details
| NPI number | 1356490544 |
|---|---|
| LBN Legal business name | Gagliardo, Kyle David |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 9th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1356490544 | NPPES |
| Iowa | MEDICAID | 2174250 |
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