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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962841205 | NPPES |
| New Jersey | Other | 22-2218302 | FEIN |
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