Gough, Gregory David

Gough, Gregory David is an sole proprietor health care provider with primary practice located at 266 Cabot St , Beverly MA 01915-3370. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Gough, Gregory David can be contacted via phone (978) 922-7400.

Contact Information

Primary practice address
266 Cabot St Beverly MA 01915-3370
Phone: (978) 922-7400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 15820 Massachusetts

Profile Details

NPI number 1790843084
LBN Legal business name Gough, Gregory David
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 5th, 2006
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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