Birch, John Sanford

Birch, John Sanford is an sole proprietor health care provider with primary practice located at 1024 Market Place Blvd , Cumming GA 30041. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Birch, John Sanford can be contacted via phone (770) 844-6771.

Contact Information

Primary practice address
1024 Market Place Blvd Cumming GA 30041
Fax: (770) 844-6686
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN010113 Georgia

Profile Details

NPI number 1497931265
LBN Legal business name Birch, John Sanford
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 11th, 2008
Last updated Jan 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497931265 NPPES
Georgia MEDICAID 00353812D

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