Gheewalla, Eric R
Gheewalla, Eric R is an individual health care provider with primary practice located at 82 Forest St , Medford MA 02155-3130. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Gheewalla, Eric R can be contacted via phone (781) 396-1980.Contact Information
Primary practice address
82 Forest St
Medford MA 02155-3130
Phone: (781) 396-1980
Fax: (781) 396-4224
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 18335 | Massachusetts |
Profile Details
| NPI number | 1194721795 |
|---|---|
| LBN Legal business name | Gheewalla, Eric R |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2005 |
| 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.
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