Gaines, Richard L
Gaines, Richard L is an sole proprietor health care provider with primary practice located at 301 Madison Ave , Lakewood NJ 08701-3266. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Gaines, Richard L can be contacted via phone (732) 367-4042.Contact Information
Primary practice address
301 Madison Ave
Lakewood NJ 08701-3266
Phone: (732) 367-4042
Fax: (732) 905-9210
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 22DI00910300 | New Jersey |
Profile Details
NPI number | 1568523538 |
---|---|
LBN Legal business name | Gaines, Richard L |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 13th, 2006 |
Last updated | Jun 12th, 2009 - about 15 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 | 1568523538 | NPPES |
New Jersey | MEDICAID | 1642006 |
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