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:
Health care specialties
Specialty | Code | License # | 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 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.
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