Li, Gary

Li, Gary is an individual health care provider with primary practice located at 158 Main St Ste 101 , Agawam MA 01001-1803. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Periodontics. Dental Providers / Periodontics is his primary health care specialty. Li, Gary can be contacted via phone (413) 728-1500.

Contact Information

Primary practice address
158 Main St Ste 101 Agawam MA 01001-1803
Phone: (413) 728-1500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Periodontics 1223P0300X DN1859006 Massachusetts

Profile Details

NPI number 1760008668
LBN Legal business name Li, Gary
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2020
Last updated Jul 1st, 2023 - about 2 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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