Gedeon, Robert Lawrence

Gedeon, Robert Lawrence is an individual health care provider with primary practice located at 604 4Th St , Niagara Falls NY 14301-1014. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Gedeon, Robert Lawrence can be contacted via phone (716) 282-1402.

Contact Information

Primary practice address
604 4Th St Niagara Falls NY 14301-1014
Phone: (716) 282-1402
Fax: (716) 284-7979
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 040743-1 New York

Profile Details

NPI number 1538257001
LBN Legal business name Gedeon, Robert Lawrence
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated Jul 9th, 2007 - about 17 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 1538257001 NPPES
New York MEDICAID 02330156

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