Gleason, Kristine A

Gleason, Kristine A is an individual health care provider with primary practice located at 992 Mantua Pike Ste 302 , Woodbury Heights NJ 08097-1249. She recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as her primary health care specialty. Gleason, Kristine A can be contacted via phone (856) 845-1341.

Contact Information

Primary practice address
992 Mantua Pike Ste 302 Woodbury Heights NJ 08097-1249
Phone: (856) 845-1341
Fax: (856) 384-9067
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 22DI02827500 New Jersey

Profile Details

NPI number 1962841205
LBN Legal business name Gleason, Kristine A
Credentials DMD, MD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2013
Last updated Mar 15th, 2023 - about last year

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 1962841205 NPPES
New Jersey Other 22-2218302 FEIN

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