Gates, James C

Gates, James C is an individual health care provider with primary practice located at 3400 Civic Center Blvd Fl 4 , Philadelphia PA 19104-5127. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Gates, James C can be contacted via phone (215) 662-3580.

Contact Information

Primary practice address
3400 Civic Center Blvd Fl 4 Philadelphia PA 19104-5127
Phone: (215) 662-3580
Fax: (215) 662-7445
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DS038935 Pennsylvania
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X MD471966 Pennsylvania
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X DS038935 Pennsylvania

Profile Details

NPI number 1073898516
LBN Legal business name Gates, James C
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2011
Last updated Nov 22nd, 2022 - about 2 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 1073898516 NPPES
Pennsylvania MEDICAID 1030108450001

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