Beernink, Gregory D.

Beernink, Gregory D. is an sole proprietor health care provider with primary practice located at 909 Lincoln Cir Se , Orange City IA 51041-1861. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Beernink, Gregory D. can be contacted via phone (712) 737-4177.

Contact Information

Primary practice address
909 Lincoln Cir Se Orange City IA 51041-1861
Fax: (712) 737-8718
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 6960 Iowa

Profile Details

NPI number 1942268420
LBN Legal business name Beernink, Gregory D.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 3rd, 2006
Last updated Jan 22nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942268420 NPPES
Iowa MEDICAID 1216309

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