Gingrass, David J
Gingrass, David J is an individual health care provider with primary practice located at 2323 North Mayfair Rd Suite 102, Milwaukee WI 53226-1506. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Gingrass, David J can be contacted via phone (414) 257-1161.Contact Information
Primary practice address
2323 North Mayfair Rd Suite 102
Milwaukee WI 53226-1506
Phone: (414) 257-1161
Fax: (414) 257-0194
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | S001616015 | Wisconsin |
Profile Details
| NPI number | 1538136106 |
|---|---|
| LBN Legal business name | Gingrass, David J |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 2nd, 2006 |
| Last updated | Jun 17th, 2010 - about 16 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 | 1538136106 | NPPES |
| Wisconsin | MEDICAID | 33540900 |
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