Gilpin, Jerry A

Gilpin, Jerry A is an individual health care provider with primary practice located at 776 S Main St , Ashland City TN 37015-1405. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Gilpin, Jerry A can be contacted via phone (615) 792-4238.

Contact Information

Primary practice address
776 S Main St Ashland City TN 37015-1405
Phone: (615) 792-4238
Fax: (615) 792-1895
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DS0000005054 Tennessee
Dental Providers / Dentist 122300000X 4586 Kentucky

Profile Details

NPI number 1194708453
LBN Legal business name Gilpin, Jerry A
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1194708453 NPPES
Tennessee Other 630215 UNITED CONCORDIA
Tennessee MEDICAID 3225540 UNITED CONCORDIA
Tennessee Other 0104978 UNITED CONCORDIA

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