Vanallen, Gannon Tolman
Vanallen, Gannon Tolman is an sole proprietor health care provider with primary practice located at 674 Blvd De France Building #674, Parris Island SC 29905. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Vanallen, Gannon Tolman can be contacted via phone (843) 228-3500.Contact Information
Primary practice address
674 Blvd De France Building #674
Parris Island SC 29905
Phone: (843) 228-3500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 10046 | Tennessee |
Profile Details
| NPI number | 1760863286 |
|---|---|
| LBN Legal business name | Vanallen, Gannon Tolman |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 10th, 2015 |
| Last updated | Jun 10th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760863286 | NPPES |
| Tennessee | Other | 10046 | BOARD OF DENTISTRY LICENSE NUMBER |
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