Goveia, Gerald Lewis

Goveia, Gerald Lewis is an individual health care provider with primary practice located at 1351 Main St , Brockton MA 02301. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Goveia, Gerald Lewis can be contacted via phone (508) 587-2000.

Contact Information

Primary practice address
1351 Main St Brockton MA 02301
Fax: (508) 580-3552
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 15727 Massachusetts

Profile Details

NPI number 1184679862
LBN Legal business name Goveia, Gerald Lewis
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated May 4th, 2012 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1184679862 NPPES
Massachusetts MEDICAID 0277061

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