Townsend, Gordon L

Townsend, Gordon L is an sole proprietor health care provider with primary practice located at 212 N Wilson Ave , Dunn NC 28334-4231. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Townsend, Gordon L can be contacted via phone (910) 892-7370.

Contact Information

Primary practice address
212 N Wilson Ave Dunn NC 28334-4231
Fax: (910) 892-1331
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 4959 North Carolina

Profile Details

NPI number 1386727014
LBN Legal business name Townsend, Gordon L
Credentials DDS, PA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 24th, 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 1386727014 NPPES
North Carolina Other 822090 UNITED CONCORDIA
North Carolina Other 98514 UNITED CONCORDIA
North Carolina MEDICAID 8998514 UNITED CONCORDIA

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