Smith, Gregg Leslie

Smith, Gregg Leslie is an sole proprietor health care provider with primary practice located at 1301 Main St , Asbury Park NJ 07712-5359. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Smith, Gregg Leslie can be contacted via phone (732) 502-5161.

Contact Information

Primary practice address
1301 Main St Asbury Park NJ 07712-5359
Phone: (732) 502-5161
Fax: (732) 774-0313
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 22DIO1550100 New Jersey

Profile Details

NPI number 1518096734
LBN Legal business name Smith, Gregg Leslie
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 5th, 2007
Last updated Nov 28th, 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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