Hubbard, Gregory George

Hubbard, Gregory George is an individual health care provider with primary practice located at 119 Ne First St Ste 4, Little Falls MN 56345. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Hubbard, Gregory George can be contacted via phone (320) 632-6621.

Contact Information

Primary practice address
119 Ne First St Ste 4 Little Falls MN 56345
Phone: (320) 632-6621
Fax: (320) 632-1829
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D11367 Minnesota

Profile Details

NPI number 1831167220
LBN Legal business name Hubbard, Gregory George
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
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 1831167220 NPPES
Other 85320FA BLUE CROSS BLUE SHIELD
Other 1265 BLUE CROSS BLUE SHIELD
Other 812989 BLUE CROSS BLUE SHIELD

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