Rector, Elizabeth Gold
Rector, Elizabeth Gold is an sole proprietor health care provider with primary practice located at 4200 Bryant Irvin Rd Suite 129, Fort Worth TX 76109. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is her primary health care specialty. Rector, Elizabeth Gold can be contacted via phone (817) 731-6964.Contact Information
Primary practice address
4200 Bryant Irvin Rd Suite 129
Fort Worth TX 76109
Phone: (817) 731-6964
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 25597 | Texas |
Dental Providers / Pediatric Dentistry | 1223P0221X | 25597 | Texas |
Profile Details
NPI number | 1982915500 |
---|---|
LBN Legal business name | Rector, Elizabeth Gold |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 29th, 2010 |
Last updated | Aug 28th, 2018 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1982915500 | NPPES |
Texas | MEDICAID | 3031908 |
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