Robert E. Gillis, Jr, Dmd, Msd, Inc.

LBN: Robert E. Gillis, Jr, Dmd, Msd, A Professional Corporation
Robert E. Gillis, Jr, Dmd, Msd, Inc. is an health care organization with primary practice located at 3000 L St Ste 205 , Sacramento CA 95816-5248. The organization recently has only one registered license in Dental Providers / Prosthodontics, which is considered as the primary health care specialty. Robert E. Gillis, Jr, Dmd, Msd, A Professional Corporation can be contacted via phone (916) 731-5778, or through Gillis, Robert E via phone (916) 731-5778.

Contact Information

Primary practice address
3000 L St Ste 205 Sacramento CA 95816-5248
Fax:
Website:
Authorized official contact:
Name: Gillis, Robert E

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Prosthodontics 1223P0700X 22070 California

Profile Details

NPI number 1710176086
LBN Legal business name Robert E. Gillis, Jr, Dmd, Msd, A Professional Corporation
DBA Doing business as Robert E. Gillis, Jr, Dmd, Msd, Inc.
Authorized official Gillis, Robert E
Entity Organization
Organization subpart 1 No
Enumeration date Oct 23rd, 2007
Last updated Oct 23rd, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710176086 NPPES
California MEDICAID B2207001

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