Brower, Gregory

Brower, Gregory is an individual health care provider with primary practice located at 530 Demoss St , Lordsburg NM 88045-2618. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / Dentist is his primary health care specialty. Brower, Gregory can be contacted via phone (575) 554-2838.

Contact Information

Primary practice address
530 Demoss St Lordsburg NM 88045-2618
Phone: (575) 554-2838
Fax: (575) 542-8387
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DD4210 New Mexico
Dental Providers / General Practice 1223G0001X D3418 Arizona

Profile Details

NPI number 1396962452
LBN Legal business name Brower, Gregory
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2007
Last updated Mar 11th, 2015 - about 11 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 1396962452 NPPES
New Mexico MEDICAID 08977542

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