Rothrock, Gavin Charles

Rothrock, Gavin Charles is an individual health care provider with primary practice located at 1550 S Liberty Dr , Bloomington IN 47403-5167. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Rothrock, Gavin Charles can be contacted via phone (812) 339-2811.

Contact Information

Primary practice address
1550 S Liberty Dr Bloomington IN 47403-5167
Phone: (812) 339-2811
Fax: (812) 961-0746
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 12010759 Indiana

Profile Details

NPI number 1881819423
LBN Legal business name Rothrock, Gavin Charles
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2007
Last updated Jul 8th, 2007 - about 18 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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