Hatzis, Gregory P
Hatzis, Gregory P is an sole proprietor health care provider with primary practice located at 110 Bergen St Rm B854, Newark NJ 07103-2495. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Hatzis, Gregory P can be contacted via phone (973) 972-2444.Contact Information
Primary practice address
110 Bergen St Rm B854
Newark NJ 07103-2495
Phone: (973) 972-2444
Fax: (973) 972-3689
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | L9730 | Texas |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 23172 | Texas |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 22DI02319600 | New Jersey |
Profile Details
| NPI number | 1639274590 |
|---|---|
| LBN Legal business name | Hatzis, Gregory P |
| Credentials | M.D., D.D.S. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 14th, 2006 |
| Last updated | Jul 9th, 2016 - about 8 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 | 1639274590 | NPPES |
| Texas | Other | 191226305 | MEDICAID (DENTAL) |
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