Dale, John B.
Dale, John B. is an sole proprietor health care provider with primary practice located at 7314 N Willow Lake Ct Suite A, Peoria IL 61614-8277. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Dale, John B. can be contacted via phone (309) 691-9100.Contact Information
Primary practice address
7314 N Willow Lake Ct Suite A
Peoria IL 61614-8277
Phone: (309) 691-9100
Fax: (309) 691-6755
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Endodontics | 1223E0200X | 021002048 | Illinois |
Profile Details
| NPI number | 1700158227 |
|---|---|
| LBN Legal business name | Dale, John B. |
| Credentials | ,DMD, MS, P.C. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 30th, 2012 |
| Last updated | Feb 8th, 2012 - about 12 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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