Bailey, Lance Don

Bailey, Lance Don is an sole proprietor health care provider with primary practice located at 1511 Lakeview Way , Ogden UT 84403. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / Dentist is his primary health care specialty. Bailey, Lance Don can be contacted via phone (801) 200-2516.

Contact Information

Primary practice address
1511 Lakeview Way Ogden UT 84403
Phone: (801) 200-2516
Fax: (503) 228-2036
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 337850 Utah
Dental Providers / Dentist 122300000X D8578 Oregon
Dental Providers / General Practice 1223G0001X D8578 Oregon

Profile Details

NPI number 1265548432
LBN Legal business name Bailey, Lance Don
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 21st, 2006
Last updated Feb 24th, 2020 - about 4 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 1265548432 NPPES
Oregon Other 1268944-1 BUSINESS IDENFICATOIN
Oregon Other D8578 BUSINESS IDENFICATOIN
Oregon Other 20-3988434 BUSINESS IDENFICATOIN

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