Handy, T. Gordon
Handy, T. Gordon is an individual health care provider with primary practice located at 1700 S Hawthorne Rd , Winston Salem NC 27103-4016. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Handy, T. Gordon can be contacted via phone (336) 765-7870.Contact Information
Primary practice address
1700 S Hawthorne Rd
Winston Salem NC 27103-4016
Phone: (336) 765-7870
Fax: (336) 765-3830
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 6568 | North Carolina |
Profile Details
| NPI number | 1265569925 |
|---|---|
| LBN Legal business name | Handy, T. Gordon |
| Credentials | DDS, MS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 2007 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265569925 | NPPES |
| North Carolina | MEDICAID | 8993543 | |
| North Carolina | Other | 152021 |
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