Hanson, Gregory Borg

Hanson, Gregory Borg is an individual health care provider with primary practice located at 5270 W 84 St , Bloomington MN 55437. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Hanson, Gregory Borg can be contacted via phone (952) 835-0666.

Contact Information

Primary practice address
5270 W 84 St Bloomington MN 55437
Phone: (952) 835-0666
Fax: (952) 835-1391
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 1661240 Minnesota

Profile Details

NPI number 1871560078
LBN Legal business name Hanson, Gregory Borg
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated Mar 9th, 2016 - about 10 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 1871560078 NPPES
Minnesota Other 303586 MEDICAL ASSITANCE

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