Gertsen, Gregory Alan
Gertsen, Gregory Alan is an sole proprietor health care provider with primary practice located at 1155 4Th St Ne , Watertown SD 57201-1202. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Gertsen, Gregory Alan can be contacted via phone (605) 882-3060.Contact Information
Primary practice address
1155 4Th St Ne
Watertown SD 57201-1202
Phone: (605) 882-3060
Fax: (605) 882-0681
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | M546 | South Dakota |
Profile Details
| NPI number | 1427078351 |
|---|---|
| LBN Legal business name | Gertsen, Gregory Alan |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 21st, 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 | 1427078351 | NPPES |
| South Dakota | MEDICAID | 7804320 |
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