Staller, Jeffrey Gilbert
Staller, Jeffrey Gilbert is an individual health care provider with primary practice located at 6818 Castor Ave , Philadelphia PA 19149-2106. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Staller, Jeffrey Gilbert can be contacted via phone (215) 742-1200.Contact Information
Primary practice address
6818 Castor Ave
Philadelphia PA 19149-2106
Phone: (215) 742-1200
Fax: (215) 742-8065
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DS018156-L | Pennsylvania |
Profile Details
| NPI number | 1316927890 |
|---|---|
| LBN Legal business name | Staller, Jeffrey Gilbert |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 19th, 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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