Gillespie, Kevin Roger
Gillespie, Kevin Roger is an individual health care provider with primary practice located at 3698 Chambers Pass , Jbsa Ft Sam Houston TX 78234-7766. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Periodontics. Dental Providers / Periodontics is his primary health care specialty. Gillespie, Kevin Roger can be contacted via phone (210) 539-3219.Contact Information
Primary practice address
3698 Chambers Pass
Jbsa Ft Sam Houston TX 78234-7766
Phone: (210) 539-3219
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 22280 | Texas |
| Dental Providers / Periodontics | 1223P0300X | 0401415961 | Virginia |
Profile Details
| NPI number | 1659324929 |
|---|---|
| LBN Legal business name | Gillespie, Kevin Roger |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 18th, 2006 |
| Last updated | Dec 14th, 2022 - about 4 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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