Gondrez, Joseph Martin

Gondrez, Joseph Martin is an individual health care provider with primary practice located at 1025 Johns Hopkins Dr , Greenville NC 27834-7227. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Gondrez, Joseph Martin can be contacted via phone (252) 752-6188.

Contact Information

Primary practice address
1025 Johns Hopkins Dr Greenville NC 27834-7227
Phone: (252) 752-6188
Fax: (252) 752-5728
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 6824 North Carolina

Profile Details

NPI number 1851436703
LBN Legal business name Gondrez, Joseph Martin
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2007
Last updated Jul 8th, 2007 - about 17 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 1851436703 NPPES
North Carolina MEDICAID 89902AH
North Carolina Other 902AH

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