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Contact Information

JAMES GRAVENER
234 S MAIN ST
SLIPPERY ROCK, PA16057-1247
 Phone: 267-939-1435
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist Anesthesiologist

1223D0004X
 

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for JAMES GRAVENER · (Male)

NPI # 1306384631
Status Active
Credentials
Entity Individual
Enumeration date 02/07/2017
Last updated 07/31/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • PA License # DA031831
  • PA License # DS041141
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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