Gustin, James Wylie

Gustin, James Wylie is an sole proprietor health care provider with primary practice located at 1430 John Wesley Gilbert Drive , Augusta GA 30912. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Endodontics. Student, Health Care / Student in an Organized Health Care Education/Training Program is his primary health care specialty. Gustin, James Wylie can be contacted via phone (912) 604-0441.

Contact Information

Primary practice address
1430 John Wesley Gilbert Drive Augusta GA 30912
Phone: (912) 604-0441
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Endodontics 1223E0200X DN014644 Georgia

Profile Details

NPI number 1770825887
LBN Legal business name Gustin, James Wylie
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 27th, 2013
Last updated Jul 1st, 2020 - about 4 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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