Cole, D'Audra M
Cole, D'Audra M is an individual health care provider with primary practice located at 2415 Musgrove Rd , Silver Spring MD 20904-5200. She recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is her primary health care specialty. Cole, D'Audra M can be contacted via phone (301) 989-8994.Contact Information
Primary practice address
2415 Musgrove Rd
Silver Spring MD 20904-5200
Phone: (301) 989-8994
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 0401411596 | Virginia |
| Dental Providers / Dentist | 122300000X | 14079 | Maryland |
Profile Details
| NPI number | 1194880633 |
|---|---|
| LBN Legal business name | Cole, D'Audra M |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 26th, 2006 |
| Last updated | Feb 26th, 2008 - 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 | 1194880633 | NPPES |
| Virginia | MEDICAID | 9184875 |
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