Holmes, Robert Gary

Holmes, Robert Gary is an individual health care provider with primary practice located at Psc 475 Box 1 , Fpo AP 96350-1200. He recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice, Dental Providers / Prosthodontics. Dental Providers / Prosthodontics is his primary health care specialty. Holmes, Robert Gary can be contacted via phone (315) 243-5868.

Contact Information

Primary practice address
Psc 475 Box 1 Fpo AP 96350-1200
Phone: (315) 243-5868
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN11091 Georgia
Dental Providers / General Practice 1223G0001X DN011091 Georgia
Dental Providers / Prosthodontics 1223P0700X 11091 Georgia

Profile Details

NPI number 1376598243
LBN Legal business name Holmes, Robert Gary
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2006
Last updated Aug 14th, 2023 - about last year

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 1376598243 NPPES
Georgia MEDICAID 000508054B
Georgia MEDICAID ZG0197

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