Davidson, George W
Davidson, George W is an individual health care provider with primary practice located at 3504 E Maria Dr , Stevens Point WI 54481-1334. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Davidson, George W can be contacted via phone (715) 342-8060.Contact Information
Primary practice address
3504 E Maria Dr
Stevens Point WI 54481-1334
Phone: (715) 342-8060
Fax: (715) 342-0062
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 5419-015 | Wisconsin |
Profile Details
| NPI number | 1013924349 |
|---|---|
| LBN Legal business name | Davidson, George W |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 1st, 2006 |
| Last updated | Feb 25th, 2013 - about 11 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 | 1013924349 | NPPES |
| Wisconsin | MEDICAID | 33770600 |
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