Martin, Gregory Paul

Martin, Gregory Paul is an individual health care provider with primary practice located at 1210 Lancaster Drive , Champaign IL 61821-7028. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Martin, Gregory Paul can be contacted via phone (217) 359-3925.

Contact Information

Primary practice address
1210 Lancaster Drive Champaign IL 61821-7028
Phone: (217) 359-3925
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 019021454 Illinois

Profile Details

NPI number 1588677082
LBN Legal business name Martin, Gregory Paul
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2006
Last updated Apr 7th, 2017 - 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.

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