Gregory, Samuel Thorne

Gregory, Samuel Thorne is an individual health care provider with primary practice located at 608-B West Broad Street , Dunn NC 28334-4812. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Gregory, Samuel Thorne can be contacted via phone (910) 892-8131.

Contact Information

Primary practice address
608-B West Broad Street Dunn NC 28334-4812
Fax: (910) 892-8132
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 4285 North Carolina

Profile Details

NPI number 1376765453
LBN Legal business name Gregory, Samuel Thorne
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2007
Last updated Jul 8th, 2007 - about 19 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 1376765453 NPPES
North Carolina MEDICAID 8993393

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