Gillespie, Gregory R

Gillespie, Gregory R is an individual health care provider with primary practice located at 13200 Se Mcgillivray , Vancouver WA 98683. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Gillespie, Gregory R can be contacted via phone (360) 892-6132.

Contact Information

Primary practice address
13200 Se Mcgillivray Vancouver WA 98683
Fax: (360) 892-0297
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DE00010643 Washington

Profile Details

NPI number 1033279559
LBN Legal business name Gillespie, Gregory R
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033279559 NPPES
Washington Other 5051479 OSHS

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