White, Gordon Richard
White, Gordon Richard is an sole proprietor health care provider with primary practice located at 2821 N Ballas Rd Suite 260, Saint Louis MO 63131-2321. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. White, Gordon Richard can be contacted via phone (314) 567-4850.Contact Information
Primary practice address
2821 N Ballas Rd Suite 260
Saint Louis MO 63131-2321
Phone: (314) 567-4850
Fax: (314) 567-5877
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | 11033 | Missouri |
Profile Details
| NPI number | 1720158850 |
|---|---|
| LBN Legal business name | White, Gordon Richard |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 8th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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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