To'Olo, Gaston

To'Olo, Gaston is an individual health care provider with primary practice located at 1048 Union St Suite 4, Bangor ME 04401-8600. He recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is his primary health care specialty. To'Olo, Gaston can be contacted via phone (207) 945-5247.

Contact Information

Primary practice address
1048 Union St Suite 4 Bangor ME 04401-8600
Phone: (207) 945-5247
Fax: (207) 992-2154
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 8397 Kentucky
Dental Providers / General Practice 1223G0001X 1199 Alaska
Dental Providers / Pediatric Dentistry 1223P0221X DEN4096 Maine
Dental Providers / Dentist 122300000X DEN4096 Maine
Dental Providers / General Practice 1223G0001X DEN4096 Maine

Profile Details

NPI number 1851515514
LBN Legal business name To'Olo, Gaston
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2007
Last updated Oct 26th, 2011 - about 14 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 1851515514 NPPES
Maine MEDICAID 434387199

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