Connor, Lucas Blaine

Connor, Lucas Blaine is an individual health care provider with primary practice located at 3625 Braselton Hwy Ste 101 , Dacula GA 30019-4696. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Connor, Lucas Blaine can be contacted via phone (770) 614-9467.

Contact Information

Primary practice address
3625 Braselton Hwy Ste 101 Dacula GA 30019-4696
Phone: (770) 614-9467
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X DN016015 Georgia

Profile Details

NPI number 1326552522
LBN Legal business name Connor, Lucas Blaine
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 27th, 2017
Last updated Jul 23rd, 2020 - about 5 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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