De Latour, Frank
De Latour, Frank is an sole proprietor health care provider with primary practice located at 300 East Hosptial Drive , Fort Gordon GA 30905. He recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. De Latour, Frank can be contacted via phone (706) 787-5322.Contact Information
Primary practice address
300 East Hosptial Drive
Fort Gordon GA 30905
Phone: (706) 787-5322
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 0401414463 | Virginia |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | DNF000451 | Georgia |
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | DNF000451 | Georgia |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 10106 | South Carolina |
Profile Details
| NPI number | 1497164081 |
|---|---|
| LBN Legal business name | De Latour, Frank |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 7th, 2014 |
| Last updated | Jan 11th, 2024 - about 11 months 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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