Gary, Lee D

Gary, Lee D is an individual health care provider with primary practice located at 102 E. Pineview Dr. , Flowood MS 39232. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Gary, Lee D can be contacted via phone (601) 992-1285.

Contact Information

Primary practice address
102 E. Pineview Dr. Flowood MS 39232
Phone: (601) 992-1285
Fax: (601) 992-6526
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3328-05 Mississippi

Profile Details

NPI number 1790901890
LBN Legal business name Gary, Lee D
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790901890 NPPES
Mississippi MEDICAID 05373770

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