De Young, Dirk T.

De Young, Dirk T. is an individual health care provider with primary practice located at 1222 2Nd St , Marysville WA 98270-4907. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. De Young, Dirk T. can be contacted via phone (360) 653-2783.

Contact Information

Primary practice address
1222 2Nd St Marysville WA 98270-4907
Fax: (360) 653-3328
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DE00007652 Washington

Profile Details

NPI number 1902907272
LBN Legal business name De Young, Dirk T.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Jul 9th, 2007 - about 18 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 1902907272 NPPES
Washington Other 57652 WDS
Washington MEDICAID 5034160 WDS
Washington Other DE5381 WDS

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