Avery, Stephanie A

Avery, Stephanie A is an sole proprietor health care provider with primary practice located at 1166 Sw Main Blvd , Lake City FL 32025-5780. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Avery, Stephanie A can be contacted via phone (386) 752-7373.

Contact Information

Primary practice address
1166 Sw Main Blvd Lake City FL 32025-5780
Phone: (386) 752-7373
Fax: (386) 487-1265
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X DH12491 Florida

Profile Details

NPI number 1356946404
LBN Legal business name Avery, Stephanie A
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 4th, 2020
Last updated Dec 4th, 2020 - about 5 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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