Degenova, Henry L
Degenova, Henry L is an individual health care provider with primary practice located at 28321 S Tamiami Trl , Bonita Springs FL 34134-3226. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Degenova, Henry L can be contacted via phone (239) 344-2322.Contact Information
Primary practice address
28321 S Tamiami Trl
Bonita Springs FL 34134-3226
Phone: (239) 344-2322
Fax: (239) 390-0523
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 30-01-1576 | Ohio |
Profile Details
| NPI number | 1386620664 |
|---|---|
| LBN Legal business name | Degenova, Henry L |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 19th, 2005 |
| Last updated | Jun 17th, 2011 - about 14 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 | 1386620664 | NPPES |
| Florida | MEDICAID | 075698900 |
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