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
Fax: (248) 673-6989
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457323313 NPPES
Michigan Other 2901012575 STATE LICENSE

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