Conway, Theresa Beth
Conway, Theresa Beth is an individual health care provider with primary practice located at 2302 English Ivy Court , Smyrna GA 30080. She recently has only one registered license in Dental Providers / Periodontics, which is considered as her primary health care specialty. Conway, Theresa Beth can be contacted via phone (404) 964-5511.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | 012367 | Georgia |
Profile Details
| NPI number | 1174748560 |
|---|---|
| LBN Legal business name | Conway, Theresa Beth |
| Credentials | D.D.S.,M.S. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 13th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1174748560 | NPPES |
| Georgia | Other | 012367 | DENTAL LICENSE NUMBER |
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