Gregg, Eric L
Gregg, Eric L is an individual health care provider with primary practice located at 14689 Valley Center Dr , Victorville CA 92395-4200. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / General Practice is his primary health care specialty. Gregg, Eric L can be contacted via phone (503) 550-8054.Contact Information
Primary practice address
14689 Valley Center Dr
Victorville CA 92395-4200
Phone: (503) 550-8054
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 63146 | California |
| Dental Providers / Dentist | 122300000X | D9716 | Oregon |
| Dental Providers / Dentist | 122300000X | 6274 | Nevada |
Profile Details
| NPI number | 1609138528 |
|---|---|
| LBN Legal business name | Gregg, Eric L |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2012 |
| Last updated | Mar 11th, 2014 - about 12 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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