St Clair, Gregory Thaddeus
St Clair, Gregory Thaddeus is an sole proprietor health care provider with primary practice located at 101 Hoyt Ln , Port Jefferson NY 11777-1318. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. St Clair, Gregory Thaddeus can be contacted via phone (631) 928-1957.Contact Information
Primary practice address
101 Hoyt Ln
Port Jefferson NY 11777-1318
Phone: (631) 928-1957
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 043675 | New York |
Profile Details
| NPI number | 1104919463 |
|---|---|
| LBN Legal business name | St Clair, Gregory Thaddeus |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 1st, 2006 |
| 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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