Gilreath, Richard Wayne
Gilreath, Richard Wayne is an sole proprietor health care provider with primary practice located at 1142 S South St , Mount Airy NC 27030-5332. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Gilreath, Richard Wayne can be contacted via phone (336) 786-8334.Contact Information
Primary practice address
1142 S South St
Mount Airy NC 27030-5332
Phone: (336) 786-8334
Fax: (336) 786-8250
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 6035 | North Carolina |
Profile Details
| NPI number | 1629236955 |
|---|---|
| LBN Legal business name | Gilreath, Richard Wayne |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 22nd, 2008 |
| Last updated | May 22nd, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629236955 | NPPES |
| North Carolina | MEDICAID | 8993193 | |
| North Carolina | Other | 19784 | |
| North Carolina | Other | 281989 | |
| North Carolina | Other | 764612 | |
| North Carolina | Other | 281 | |
| North Carolina | Other | 93193 |
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