Guevara, Charles Edward

Guevara, Charles Edward is an individual health care provider with primary practice located at 175 Route 59 Ben Gilman Spring Valley Medical & Dental Clinic, Spring Valley NY 10977-5231. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Guevara, Charles Edward can be contacted via phone (845) 426-5800.

Contact Information

Primary practice address
175 Route 59 Ben Gilman Spring Valley Medical & Dental Clinic Spring Valley NY 10977-5231
Fax: (845) 356-4467
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 035435 New York

Profile Details

NPI number 1912980244
LBN Legal business name Guevara, Charles Edward
Credentials BA DDS
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2005
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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Identifiers

StateTypeNumberIssuer
All States NPI 1912980244 NPPES
New York MEDICAID 00826673

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