Gremillion, Jay Kevin

Gremillion, Jay Kevin is an individual health care provider with primary practice located at 830 W Olive Ave , Merced CA 95348-2420. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Gremillion, Jay Kevin can be contacted via phone (209) 384-3434.

Contact Information

Primary practice address
830 W Olive Ave Merced CA 95348-2420
Phone: (209) 384-3434
Fax: (209) 384-8262
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 40442 California

Profile Details

NPI number 1174657241
LBN Legal business name Gremillion, Jay Kevin
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2007
Last updated May 21st, 2008 - about 16 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 1174657241 NPPES
California Other 40442 DDS LICENSE

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