Davis, Greg Ron

Davis, Greg Ron is an sole proprietor health care provider with primary practice located at 467 S Rivershore Ln , Eagle ID 83616-4978. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Davis, Greg Ron can be contacted via phone (208) 939-9235.

Contact Information

Primary practice address
467 S Rivershore Ln Eagle ID 83616-4978
Fax: (208) 939-9235
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D-3175 Idaho

Profile Details

NPI number 1699960039
LBN Legal business name Davis, Greg Ron
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 10th, 2007
Last updated Sep 10th, 2007 - about 19 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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