Bird, Daniel L
Bird, Daniel L is an sole proprietor health care provider with primary practice located at 203 S Avalon St , West Memphis AR 72301-4172. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Bird, Daniel L can be contacted via phone (870) 732-2275.Contact Information
Primary practice address
203 S Avalon St
West Memphis AR 72301-4172
Phone: (870) 732-2275
Fax: (870) 732-1350
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 113692427 | Arkansas |
Profile Details
| NPI number | 1023026630 |
|---|---|
| LBN Legal business name | Bird, Daniel L |
| Credentials | DDS, PA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 3rd, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023026630 | NPPES |
| Arkansas | Other | 5X437 | BCBSAR |
| Arkansas | Other | 4072662 | BCBSAR |
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