Gaines, Roy E

Gaines, Roy E is an sole proprietor health care provider with primary practice located at 4201 Lake Boone Trl Suite 002, Raleigh NC 27607-7512. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Gaines, Roy E can be contacted via phone (919) 787-3949.

Contact Information

Primary practice address
4201 Lake Boone Trl Suite 002 Raleigh NC 27607-7512
Phone: (919) 787-3949
Fax: (919) 787-7634
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 5589 North Carolina

Profile Details

NPI number 1679675292
LBN Legal business name Gaines, Roy E
Credentials D.D.S., M.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 3rd, 2006
Last updated Mar 1st, 2011 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1679675292 NPPES
North Carolina MEDICAID 8993014

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