Gant, Richard Barksdale
Gant, Richard Barksdale is an individual health care provider with primary practice located at 655 Sw Broad St , Southern Pines NC 28387-5925. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Gant, Richard Barksdale can be contacted via phone (910) 692-6500.Contact Information
Primary practice address
655 Sw Broad St
Southern Pines NC 28387-5925
Phone: (910) 692-6500
Fax: (910) 692-6697
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 5144 | North Carolina |
Profile Details
| NPI number | 1851302749 |
|---|---|
| LBN Legal business name | Gant, Richard Barksdale |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2006 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851302749 | NPPES |
| North Carolina | Other | 93082 | BCBS |
| North Carolina | MEDICAID | 8993082 | BCBS |
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