Gillette, Dana Marie

Gillette, Dana Marie is an individual health care provider with primary practice located at 1631 Wetzel Ave Bldg 815, Fort Carson CO 80913-4095. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Gillette, Dana Marie can be contacted via phone (719) 526-5537.

Contact Information

Primary practice address
1631 Wetzel Ave Bldg 815 Fort Carson CO 80913-4095
Fax: (719) 524-2843
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X DH.002023537 Colorado
Dental Providers / Dental Hygienist 124Q00000X DH070090 Pennsylvania
Dental Providers / Dental Hygienist 124Q00000X 024528 New York

Profile Details

NPI number 1538567896
LBN Legal business name Gillette, Dana Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2014
Last updated Dec 18th, 2014 - about 11 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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