Handy, T. Gordon

Handy, T. Gordon is an individual health care provider with primary practice located at 1700 S Hawthorne Rd , Winston Salem NC 27103-4016. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Handy, T. Gordon can be contacted via phone (336) 765-7870.

Contact Information

Primary practice address
1700 S Hawthorne Rd Winston Salem NC 27103-4016
Phone: (336) 765-7870
Fax: (336) 765-3830
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 6568 North Carolina

Profile Details

NPI number 1265569925
LBN Legal business name Handy, T. Gordon
Credentials DDS, MS
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2007
Last updated Jul 9th, 2007 - about 18 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 1265569925 NPPES
North Carolina MEDICAID 8993543
North Carolina Other 152021

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