Mccall, Glenn Gibson
Mccall, Glenn Gibson is an sole proprietor health care provider with primary practice located at 1909 Turnbury Dr , Greenville NC 27858-6168. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Mccall, Glenn Gibson can be contacted via phone (252) 353-9000.Contact Information
Primary practice address
1909 Turnbury Dr
Greenville NC 27858-6168
Phone: (252) 353-9000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 7305 | North Carolina |
Profile Details
| NPI number | 1396786596 |
|---|---|
| LBN Legal business name | Mccall, Glenn Gibson |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 9th, 2006 |
| Last updated | Sep 24th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396786596 | NPPES |
| North Carolina | MEDICAID | 89902CW |
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