Antalis, Denise M
Antalis, Denise M is an sole proprietor health care provider with primary practice located at 1500 Deerpath Drive , Cambridge OH 43725-1143. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Antalis, Denise M can be contacted via phone (740) 439-2501.Contact Information
Primary practice address
1500 Deerpath Drive
Cambridge OH 43725-1143
Phone: (740) 439-2501
Fax: (740) 439-2240
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 19405 | Ohio |
Profile Details
| NPI number | 1255356176 |
|---|---|
| LBN Legal business name | Antalis, Denise M |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 13th, 2006 |
| Last updated | Aug 18th, 2008 - about 16 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 | 1255356176 | NPPES |
| Ohio | Other | 311450774 | TAX IDENTICATION NUMBER |
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