Gregg, Gary Thomas

Gregg, Gary Thomas is an individual health care provider with primary practice located at 700 N Devine Rd , Vancouver WA 98661-6964. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Gregg, Gary Thomas can be contacted via phone (360) 750-1385.

Contact Information

Primary practice address
700 N Devine Rd Vancouver WA 98661-6964
Phone: (360) 750-1385
Fax: (360) 750-1798
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DE00005828 Washington

Profile Details

NPI number 1326021650
LBN Legal business name Gregg, Gary Thomas
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2005
Last updated Jul 8th, 2007 - about 18 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 1326021650 NPPES
Washington Other DELTA DENTAL INSURANCE IDENTIFIER
Washington Other DE00005828 INSURANCE IDENTIFIER
Washington Other 073914000 INSURANCE IDENTIFIER

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