Zlock, Gregory Allan

Zlock, Gregory Allan is an individual health care provider with primary practice located at 1211 S Reserve St Suite 201, Missoula MT 59801-3101. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Zlock, Gregory Allan can be contacted via phone (406) 543-6320.

Contact Information

Primary practice address
1211 S Reserve St Suite 201 Missoula MT 59801-3101
Phone: (406) 543-6320
Fax: (406) 541-6307
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2075 Montana

Profile Details

NPI number 1124180088
LBN Legal business name Zlock, Gregory Allan
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1124180088 NPPES
Montana MEDICAID 0130000
Montana Other 5512923

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