Gong, Yuanbing
Gong, Yuanbing is an individual health care provider with primary practice located at 1667 Cochrane Cir Bldg 7495 , Fort Carson CO 80913-4603. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Gong, Yuanbing can be contacted via phone (434) 332-5919.Contact Information
Primary practice address
1667 Cochrane Cir Bldg 7495
Fort Carson CO 80913-4603
Phone: (434) 332-5919
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 0401415431 | Virginia |
| Dental Providers / Dentist | 122300000X | 0401415431 | Virginia |
Profile Details
| NPI number | 1609325497 |
|---|---|
| LBN Legal business name | Gong, Yuanbing |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2016 |
| Last updated | Jul 25th, 2023 - about 3 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 | 1609325497 | NPPES |
| Other | 1609325497 | NPI | |
| Other | 0401415431 | NPI |
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