Collier, John David
Collier, John David is an sole proprietor health care provider with primary practice located at 3950 Veterans Drive Suite 102, St. Cloud MN 56303. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Collier, John David can be contacted via phone (320) 253-8380.Contact Information
Primary practice address
3950 Veterans Drive Suite 102
St. Cloud MN 56303
Phone: (320) 253-8380
Fax: (320) 253-8419
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 11694 | Minnesota |
| Dental Providers / Pediatric Dentistry | 1223P0221X | D11694 | Minnesota |
Profile Details
| NPI number | 1558385377 |
|---|---|
| LBN Legal business name | Collier, John David |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 26th, 2006 |
| Last updated | Dec 6th, 2023 - about 2 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 | 1558385377 | NPPES |
| Minnesota | MEDICAID | 839677900 | |
| Minnesota | Other | D11694 | |
| Minnesota | Other | 11694 |
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