Anderson, Gerald Brett
Anderson, Gerald Brett is an individual health care provider with primary practice located at 421 E. 5Th St. , Okmulgee OK 74447. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Anderson, Gerald Brett can be contacted via phone (918) 493-7445.Contact Information
Primary practice address
421 E. 5Th St.
Okmulgee OK 74447
Phone: (918) 493-7445
Fax: (918) 295-6194
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 5044 | Oklahoma |
Profile Details
| NPI number | 1417967605 |
|---|---|
| LBN Legal business name | Anderson, Gerald Brett |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2006 |
| Last updated | Dec 3rd, 2013 - about 13 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 | 1417967605 | NPPES |
| Oklahoma | MEDICAID | 100125080A |
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