Gaston, Bruce A

Gaston, Bruce A is an sole proprietor health care provider with primary practice located at 1911 Malvern Ave. Suite A, Hot Springs AR 71901. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Gaston, Bruce A can be contacted via phone (501) 609-9196.

Contact Information

Primary practice address
1911 Malvern Ave. Suite A Hot Springs AR 71901
Phone: (501) 609-9196
Fax: (501) 609-9148
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 19 Arkansas

Profile Details

NPI number 1265583066
LBN Legal business name Gaston, Bruce A
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 16th, 2007
Last updated May 24th, 2017 - about 9 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 1265583066 NPPES
Arkansas MEDICAID 145594608
Arkansas Other 961464
Arkansas Other 5X168

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