Gullings, Stephen Dale

Gullings, Stephen Dale is an sole proprietor health care provider with primary practice located at 205 E 4Th Ave , Mitchell SD 57301-2605. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Gullings, Stephen Dale can be contacted via phone (605) 996-2411.

Contact Information

Primary practice address
205 E 4Th Ave Mitchell SD 57301-2605
Fax: (605) 996-2411
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X M497 South Dakota

Profile Details

NPI number 1609896349
LBN Legal business name Gullings, Stephen Dale
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2006
Last updated Jul 12th, 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 1609896349 NPPES
South Dakota MEDICAID 7803132

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