Tarantola, Gregory

Tarantola, Gregory is an individual health care provider with primary practice located at 559 W Twincourt Trl 606, St Augustine FL 32095-8805. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Tarantola, Gregory can be contacted via phone (904) 671-6977.

Contact Information

Primary practice address
559 W Twincourt Trl 606 St Augustine FL 32095-8805
Phone: (904) 671-6977
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN12415 Florida

Profile Details

NPI number 1194943076
LBN Legal business name Tarantola, Gregory
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2007
Last updated Jul 30th, 2015 - about 11 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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