Wendell, Gary Don
Wendell, Gary Don is an sole proprietor health care provider with primary practice located at 5354 Lookout Pass , Wesley Chapel FL 33544-5501. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Wendell, Gary Don can be contacted via phone (425) 517-9316.Contact Information
Primary practice address
5354 Lookout Pass
Wesley Chapel FL 33544-5501
Phone: (425) 517-9316
Fax: (628) 237-0456
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 104801 | California |
| Dental Providers / Pediatric Dentistry | 1223P0221X | 61041300 | Washington |
| Dental Providers / Pediatric Dentistry | 1223P0221X | 3134 | New Hampshire |
Profile Details
| NPI number | 1063424844 |
|---|---|
| LBN Legal business name | Wendell, Gary Don |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 12th, 2006 |
| Last updated | Sep 21st, 2023 - about last year |
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 | 1063424844 | NPPES |
| New Hampshire | MEDICAID | 30300498 |
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