Bolt, Daniel L

Bolt, Daniel L is an individual health care provider with primary practice located at 845 E. 16Th St , Holland MI 49423. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Bolt, Daniel L can be contacted via phone (616) 392-2381.

Contact Information

Primary practice address
845 E. 16Th St Holland MI 49423
Phone: (616) 392-2381
Fax: (616) 392-3748
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 2901017602 Michigan

Profile Details

NPI number 1811069198
LBN Legal business name Bolt, Daniel L
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2006
Last updated Sep 28th, 2021 - 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 1811069198 NPPES
Michigan MEDICAID 124383607

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