Gentile, Macario Melvin

Gentile, Macario Melvin is an sole proprietor health care provider with primary practice located at 2135 E University Dr Ste 115, Mesa AZ 85213-8335. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Gentile, Macario Melvin can be contacted via phone (480) 969-6762.

Contact Information

Primary practice address
2135 E University Dr Ste 115 Mesa AZ 85213-8335
Fax: (480) 833-5739
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 1991 Arizona

Profile Details

NPI number 1912900705
LBN Legal business name Gentile, Macario Melvin
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2005
Last updated Sep 24th, 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 1912900705 NPPES
Pennsylvania Other 0762858 UNITED CONCORDIA
Pennsylvania Other 0127770 UNITED CONCORDIA
Pennsylvania Other 1991 UNITED CONCORDIA

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