Davila, Manuel A.
Davila, Manuel A. is an individual health care provider with primary practice located at 55 Whitcher St Ne Suite 140, Marietta GA 30060-1155. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Davila, Manuel A. can be contacted via phone (770) 422-7630.Contact Information
Primary practice address
55 Whitcher St Ne Suite 140
Marietta GA 30060-1155
Phone: (770) 422-7630
Fax: (770) 422-6017
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 10084 | Georgia |
Profile Details
| NPI number | 1760496210 |
|---|---|
| LBN Legal business name | Davila, Manuel A. |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2006 |
| Last updated | Jan 5th, 2016 - about 8 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 | 1760496210 | NPPES |
| Georgia | MEDICAID | 00333737A |
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