Bolten, Richard Carl
Bolten, Richard Carl is an individual health care provider with primary practice located at 4721 Dixie Hwy , Waterford MI 48329-3522. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Bolten, Richard Carl can be contacted via phone (248) 673-7026.Contact Information
Primary practice address
4721 Dixie Hwy
Waterford MI 48329-3522
Phone: (248) 673-7026
Fax: (248) 673-6989
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 2901012575 | Michigan |
Profile Details
| NPI number | 1457323313 |
|---|---|
| LBN Legal business name | Bolten, Richard Carl |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 6th, 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 | 1457323313 | NPPES |
| Michigan | Other | 2901012575 | STATE LICENSE |
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