Gervais, Philip William

Gervais, Philip William is an individual health care provider with primary practice located at 2005 W Pine St , Sandpoint ID 83864-9324. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Gervais, Philip William can be contacted via phone (208) 263-8535.

Contact Information

Primary practice address
2005 W Pine St Sandpoint ID 83864-9324
Fax: (208) 265-2365
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D1748 Idaho

Profile Details

NPI number 1760576920
LBN Legal business name Gervais, Philip William
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
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.

Request for update

Popular Providers