Waite, Gregory
Waite, Gregory is an individual health care provider with primary practice located at 865 N Arizola Rd , Casa Grande AZ 85122-6011. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Waite, Gregory can be contacted via phone (520) 836-3446.Contact Information
Primary practice address
865 N Arizola Rd
Casa Grande AZ 85122-6011
Phone: (520) 836-3446
Fax: (520) 836-8807
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | 3725 | Arizona |
Profile Details
NPI number | 1437157153 |
---|---|
LBN Legal business name | Waite, Gregory |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 7th, 2005 |
Last updated | Dec 22nd, 2016 - about 9 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 | 1437157153 | NPPES |
Arizona | Other | 93170 | AHCCCS |
Arizona | Other | 3725 | AHCCCS |
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