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
Phone: (845) 426-5800
Fax: (845) 356-4467
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912980244 | NPPES |
| New York | MEDICAID | 00826673 |
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