Gentile, Michael David
Gentile, Michael David is an sole proprietor health care provider with primary practice located at 49 Lake Ave Suite 203, Greenwich CT 06830-4501. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Gentile, Michael David can be contacted via phone (203) 869-2090.Contact Information
Primary practice address
49 Lake Ave Suite 203
Greenwich CT 06830-4501
Phone: (203) 869-2090
Fax: (203) 869-2535
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 008565 | Connecticut |
Profile Details
| NPI number | 1457567273 |
|---|---|
| LBN Legal business name | Gentile, Michael David |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 16th, 2007 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457567273 | NPPES |
| Connecticut | Other | 008565 | DENTAL LICENSE |
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