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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679675292 | NPPES |
| North Carolina | MEDICAID | 8993014 |
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