Small, Gary Howard
Small, Gary Howard is an individual health care provider with primary practice located at 7 Washington Ave , Manville NJ 08835-1846. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Small, Gary Howard can be contacted via phone (908) 722-6500.Contact Information
Primary practice address
7 Washington Ave
Manville NJ 08835-1846
Phone: (908) 722-6500
Fax: (908) 722-7206
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 10121 | New Jersey |
Profile Details
| NPI number | 1902895519 |
|---|---|
| LBN Legal business name | Small, Gary Howard |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2005 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902895519 | NPPES |
| New Jersey | MEDICAID | 1516507 |
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