Gillespie, Kevin Roger

Gillespie, Kevin Roger is an individual health care provider with primary practice located at 3698 Chambers Pass , Jbsa Ft Sam Houston TX 78234-7766. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Periodontics. Dental Providers / Periodontics is his primary health care specialty. Gillespie, Kevin Roger can be contacted via phone (210) 539-3219.

Contact Information

Primary practice address
3698 Chambers Pass Jbsa Ft Sam Houston TX 78234-7766
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 22280 Texas
Dental Providers / Periodontics 1223P0300X 0401415961 Virginia

Profile Details

NPI number 1659324929
LBN Legal business name Gillespie, Kevin Roger
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Dec 14th, 2022 - about 2 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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