Grace, Peter Gordon

Grace, Peter Gordon is an sole proprietor health care provider with primary practice located at 140 Washington Street , Geneva NY 14456. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Grace, Peter Gordon can be contacted via phone (315) 789-7922.

Contact Information

Primary practice address
140 Washington Street Geneva NY 14456
Phone: (315) 789-7922
Fax: (315) 789-0078
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 052458 New York
Dental Providers / General Practice 1223G0001X NY052458 New York

Profile Details

NPI number 1164551115
LBN Legal business name Grace, Peter Gordon
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 5th, 2007
Last updated May 5th, 2010 - about 15 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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