Psaltis, Gregory L

Psaltis, Gregory L is an individual health care provider with primary practice located at 222 Lilly Rd Ne , Olympia WA 98506. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Psaltis, Gregory L can be contacted via phone (360) 459-5885.

Contact Information

Primary practice address
222 Lilly Rd Ne Olympia WA 98506
Fax: (360) 459-7115
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X DE00004885 Washington

Profile Details

NPI number 1972682565
LBN Legal business name Psaltis, Gregory L
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 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 1972682565 NPPES
Washington MEDICAID 5022207

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