Harvey, Gregory Todd

Harvey, Gregory Todd is an individual health care provider with primary practice located at 114 Beckley Plaza Mall , Beckley WV 25801. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Harvey, Gregory Todd can be contacted via phone (304) 253-0506.

Contact Information

Primary practice address
114 Beckley Plaza Mall Beckley WV 25801
Fax: (304) 253-0276
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3093 West Virginia

Profile Details

NPI number 1518027135
LBN Legal business name Harvey, Gregory Todd
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2006
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 1518027135 NPPES
West Virginia MEDICAID 0133569000

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