Angell, David M

Angell, David M is an sole proprietor health care provider with primary practice located at 2700 W 9Th Ave Suite 103, Oshkosh WI 54904-7247. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Pathology, which is considered as his primary health care specialty. Angell, David M can be contacted via phone (920) 236-1680.

Contact Information

Primary practice address
2700 W 9Th Ave Suite 103 Oshkosh WI 54904-7247
Fax: (920) 235-8101
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X 5001199 Wisconsin

Profile Details

NPI number 1811077449
LBN Legal business name Angell, David M
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2006
Last updated Sep 5th, 2007 - about 17 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 1811077449 NPPES
Wisconsin MEDICAID 70010800
Wisconsin Other 0040023890

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