Davis, Susan Aileen

Davis, Susan Aileen is an individual health care provider with primary practice located at 2212 S Eastern Ave , Las Vegas NV 89104-4124. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Davis, Susan Aileen can be contacted via phone (702) 735-9334.

Contact Information

Primary practice address
2212 S Eastern Ave Las Vegas NV 89104-4124
Phone: (702) 735-9334
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 101521 Nevada

Profile Details

NPI number 1033758669
LBN Legal business name Davis, Susan Aileen
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2019
Last updated Dec 30th, 2019 - about 7 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 1033758669 NPPES
Nevada Other 101521 RDH LICENSE NUMBER

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