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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073632659 | NPPES |
| Georgia | MEDICAID | 509010518A |
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