Gillis, Edward Roy

Gillis, Edward Roy is an sole proprietor health care provider with primary practice located at 10203 Tanager Ln , Columbia MD 21044-3904. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Gillis, Edward Roy can be contacted via phone (410) 730-3800.

Contact Information

Primary practice address
10203 Tanager Ln Columbia MD 21044-3904
Fax: (410) 730-9665
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 4317 Maryland

Profile Details

NPI number 1164427688
LBN Legal business name Gillis, Edward Roy
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 21st, 2005
Last updated Jul 15th, 2013 - about 13 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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