Jones, Gary T
Jones, Gary T is an sole proprietor health care provider with primary practice located at 1295 Oliver St , Fayetteville NC 28304-4450. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Pathology, which is considered as his primary health care specialty. Jones, Gary T can be contacted via phone (910) 483-9216.Contact Information
Primary practice address
1295 Oliver St
Fayetteville NC 28304-4450
Phone: (910) 483-9216
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Pathology | 1223P0106X | 6685 | North Carolina |
Profile Details
| NPI number | 1861473019 |
|---|---|
| LBN Legal business name | Jones, Gary T |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 7th, 2005 |
| Last updated | Jan 31st, 2017 - about 6 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 | 1861473019 | NPPES |
| North Carolina | MEDICAID | 899006J |
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