Guilbeault, David G.
Guilbeault, David G. is an sole proprietor health care provider with primary practice located at 24 Ginger Creek Pkwy , Glen Carbon IL 62034-3502. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Guilbeault, David G. can be contacted via phone (618) 692-1110.Contact Information
Primary practice address
24 Ginger Creek Pkwy
Glen Carbon IL 62034-3502
Phone: (618) 692-1110
Fax: (618) 692-1112
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 019-025281 | Illinois |
Profile Details
| NPI number | 1700894953 |
|---|---|
| LBN Legal business name | Guilbeault, David G. |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 4th, 2006 |
| Last updated | Dec 18th, 2019 - about 5 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 | 1700894953 | NPPES |
| Illinois | MEDICAID | 102743 |
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