Ashmore, Randan Ludlow

Ashmore, Randan Ludlow is an sole proprietor health care provider with primary practice located at 1010 Prince Ave , Athens GA 30606-5805. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Ashmore, Randan Ludlow can be contacted via phone (706) 546-1241.

Contact Information

Primary practice address
1010 Prince Ave Athens GA 30606-5805
Fax: (706) 546-1242
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X DN008320 Georgia

Profile Details

NPI number 1780721217
LBN Legal business name Ashmore, Randan Ludlow
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 1st, 2007
Last updated Jul 8th, 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 1780721217 NPPES
Georgia Other DN008320 DENTAL LISCENCE

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