Peterson, Gilman

Peterson, Gilman is an sole proprietor health care provider with primary practice located at 1303 W Lexington Ave , Winchester KY 40391-3100. He recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Peterson, Gilman can be contacted via phone (859) 744-0677.

Contact Information

Primary practice address
1303 W Lexington Ave Winchester KY 40391-3100
Phone: (859) 744-0677
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 7976 Kentucky
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 7976 Kentucky
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 7976 Kentucky

Profile Details

NPI number 1871756924
LBN Legal business name Peterson, Gilman
Credentials DMD MD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 9th, 2008
Last updated Mar 9th, 2011 - about 13 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 1871756924 NPPES
Kentucky MEDICAID 7100071380
Kentucky MEDICAID 7100067490

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