Gangwisch, Richard Peter
Gangwisch, Richard Peter is an individual health care provider with primary practice located at 912 Killian Hill Rd Sw Suite 100, Lilburn GA 30047-3138. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Gangwisch, Richard Peter can be contacted via phone (770) 923-3966.Contact Information
Primary practice address
912 Killian Hill Rd Sw Suite 100
Lilburn GA 30047-3138
Phone: (770) 923-3966
Fax: (770) 564-8617
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DN008859 | Georgia |
| Dental Providers / General Practice | 1223G0001X | 30-015431 | Ohio |
Profile Details
| NPI number | 1255355145 |
|---|---|
| LBN Legal business name | Gangwisch, Richard Peter |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2006 |
| 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.
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