Danielson, Paul Albert

Danielson, Paul Albert is an individual health care provider with primary practice located at 118 Tilley Drive Suite 102, South Burlington VT 05403-7282. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Danielson, Paul Albert can be contacted via phone (802) 862-9196.

Contact Information

Primary practice address
118 Tilley Drive Suite 102 South Burlington VT 05403-7282
Phone: (802) 862-9196
Fax: (802) 862-5769
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 0160000524 Vermont

Profile Details

NPI number 1982628657
LBN Legal business name Danielson, Paul Albert
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Oct 17th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982628657 NPPES
Vermont Other 2377 BCBS
Vermont MEDICAID 2377 BCBS
Vermont Other 102V103 BCBS

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