Alvarado, Fernando

Alvarado, Fernando is an sole proprietor health care provider with primary practice located at 3205 Wildwood Plantation Dr , Valdosta GA 31605-1042. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Alvarado, Fernando can be contacted via phone (229) 247-7585.

Contact Information

Primary practice address
3205 Wildwood Plantation Dr Valdosta GA 31605-1042
Phone: (229) 247-7585
Fax: (229) 247-8901
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DN012666 Georgia

Profile Details

NPI number 1073632659
LBN Legal business name Alvarado, Fernando
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 28th, 2007
Last updated Jan 17th, 2012 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073632659 NPPES
Georgia MEDICAID 509010518A

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