Potok, Gary

Potok, Gary is an individual health care provider with primary practice located at 101 2Nd St , Lakewood NJ 08701-3324. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Potok, Gary can be contacted via phone (732) 363-6655.

Contact Information

Primary practice address
101 2Nd St Lakewood NJ 08701-3324
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 22DI01748600 New Jersey

Profile Details

NPI number 1265472930
LBN Legal business name Potok, Gary
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Jan 26th, 2017 - about 7 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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