Bengtson, Paul Roy
Bengtson, Paul Roy is an sole proprietor health care provider with primary practice located at 49 Summit Ave E , Blackduck MN 56630. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Bengtson, Paul Roy can be contacted via phone (218) 835-4227.Contact Information
Primary practice address
49 Summit Ave E
Blackduck MN 56630
Phone: (218) 835-4227
Fax: (218) 835-7512
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | 7789 | Minnesota |
Profile Details
NPI number | 1225203359 |
---|---|
LBN Legal business name | Bengtson, Paul Roy |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 29th, 2008 |
Last updated | Apr 29th, 2008 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1225203359 | NPPES |
Minnesota | MEDICAID | 141818100 |
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