Childress-Grubb, Nicki L
Childress-Grubb, Nicki L is an individual health care provider with primary practice located at 825 Ringwood Ave , Pompton Lakes NJ 07442-2215. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Childress-Grubb, Nicki L can be contacted via phone (973) 831-8950.Contact Information
Primary practice address
825 Ringwood Ave
Pompton Lakes NJ 07442-2215
Phone: (973) 831-8950
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 20477 | New Jersey |
Profile Details
| NPI number | 1184741829 |
|---|---|
| LBN Legal business name | Childress-Grubb, Nicki L |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 26th, 2007 |
| 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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