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Contact Information

PAUL A GAGNON, DMD
1169 CALL CREEK DR
SUITE A
POCATELLO, ID83201-3077
 Phone: 208-233-8620
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for PAUL A GAGNON · (Male)

NPI Number 1699811463
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 01/29/2007
Last updated 11/14/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • ID License # D3946
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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