Hargis, Gerald Wayne

Hargis, Gerald Wayne is an sole proprietor health care provider with primary practice located at 294 E Davis St , Burlington NC 27215-5819. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Hargis, Gerald Wayne can be contacted via phone (336) 226-8069.

Contact Information

Primary practice address
294 E Davis St Burlington NC 27215-5819
Fax: (336) 226-9100
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 4646 North Carolina

Profile Details

NPI number 1992824981
LBN Legal business name Hargis, Gerald Wayne
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 29th, 2007
Last updated Jul 8th, 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 1992824981 NPPES
North Carolina MEDICAID 8993553

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