London, Gary C

London, Gary C is an individual health care provider with primary practice located at 5 Bluff Ct , Fairview Heights IL 62208-2630. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. London, Gary C can be contacted via phone (618) 398-1222.

Contact Information

Primary practice address
5 Bluff Ct Fairview Heights IL 62208-2630
Phone: (618) 398-1222
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 19A13398 Illinois

Profile Details

NPI number 1023015591
LBN Legal business name London, Gary C
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Jul 8th, 2007 - about 17 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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