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Contact Information

GARY K GONZENBACH, DDS
3280 MIDDLE ROAD
BLDG 1
COLUMBUS, IN47203
 Phone: 812-376-9317
 Fax: 812-376-9380
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for GARY K GONZENBACH · (Male)

NPI Number 1164523429
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 09/26/2006
Last updated 03/18/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • IN License # 7240
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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