White, Gerald Grenier
White, Gerald Grenier is an sole proprietor health care provider with primary practice located at 6164 Omni Park Dr , Mobile AL 36609-5195. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. White, Gerald Grenier can be contacted via phone (251) 343-8000.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | #4821 | Alabama |
Profile Details
| NPI number | 1285773580 |
|---|---|
| LBN Legal business name | White, Gerald Grenier |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 5th, 2007 |
| Last updated | Jul 9th, 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 | 1285773580 | NPPES |
| Alabama | MEDICAID | 009960150 | |
| Alabama | Other | 51075993WHI |
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