Deitrick, Paul Douglas

Deitrick, Paul Douglas is an individual health care provider with primary practice located at 6200 Main St , Voorhees NJ 08043-4629. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Deitrick, Paul Douglas can be contacted via phone (856) 325-6717.

Contact Information

Primary practice address
6200 Main St Voorhees NJ 08043-4629
Phone: (856) 325-6717
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DS037281 Pennsylvania
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 22DI02798900 New Jersey

Profile Details

NPI number 1851527600
LBN Legal business name Deitrick, Paul Douglas
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2009
Last updated Mar 24th, 2021 - about 3 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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