Perez-Gonzalez, Gabriel

Perez-Gonzalez, Gabriel is an sole proprietor health care provider with primary practice located at 195 Greencastle Rd , Tyrone GA 30290-2938. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Perez-Gonzalez, Gabriel can be contacted via phone (770) 486-5585.

Contact Information

Primary practice address
195 Greencastle Rd Tyrone GA 30290-2938
Phone: (770) 486-5585
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN122741 Georgia

Profile Details

NPI number 1023740164
LBN Legal business name Perez-Gonzalez, Gabriel
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 28th, 2022
Last updated Jun 28th, 2022 - about 4 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 1023740164 NPPES
Georgia MEDICAID 21418122332
Georgia Other 21418122332

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