National Provider Identifier Database

GAINESVILLE ORAL AND IMPLANT SURGERY PA
Oral & Maxillofacial Surgery


Contact Information

GAINESVILLE ORAL AND IMPLANT SURGERY, PA
6801 NW 9TH BLVD STE 1
GAINESVILLE, FL32605-4263
Phone: 352-331-2016
Fax: 352-331-1676
Website:
Specialty Taxonomy Code
* Oral & Maxillofacial Surgery 204E00000X
Oral and Maxillofacial Surgery 261QS0112X

* Indicates primary specialty

NPI Profile & details for GAINESVILLE ORAL AND IMPLANT SURGERY, PA

NPI Number 1841880739
Legal business name
LBN
GAINESVILLE ORAL AND IMPLANT SURGERY, PA
Authorized official CHRISTOPHER HAMBROOK - (ORAL AND MAXILLOFACIAL SURGEON)
Entity Organization
Organization subpart No
Enumeration date 01/25/2021
Last updated 02/18/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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