Gowda, Anjana
Gowda, Anjana is an individual health care provider with primary practice located at 145 Brighton Ave , Long Branch NJ 07740-5338. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Gowda, Anjana can be contacted via phone (732) 229-3698.Contact Information
Primary practice address
145 Brighton Ave
Long Branch NJ 07740-5338
Phone: (732) 229-3698
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DS036359 | Pennsylvania |
| Dental Providers / General Practice | 1223G0001X | 22DI02279400 | New Jersey |
Profile Details
| NPI number | 1073689725 |
|---|---|
| LBN Legal business name | Gowda, Anjana |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 27th, 2006 |
| Last updated | Jan 2nd, 2019 - about 5 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 | 1073689725 | NPPES |
| Pennsylvania | MEDICAID | 101210506 | |
| Pennsylvania | MEDICAID | 0423254 |
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