Dewald, Ernest James

Dewald, Ernest James is an individual health care provider with primary practice located at 1301 Peachers Mill Rd , Clarksville TN 37042-4610. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Dewald, Ernest James can be contacted via phone (931) 572-9152.

Contact Information

Primary practice address
1301 Peachers Mill Rd Clarksville TN 37042-4610
Phone: (931) 572-9152
Fax: (931) 572-9155
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DS006850 Tennessee
Dental Providers / Dentist 122300000X MD06299 Maryland
Dental Providers / Dentist 122300000X 032522 New York

Profile Details

NPI number 1265415996
LBN Legal business name Dewald, Ernest James
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2005
Last updated Jul 8th, 2007 - about 17 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 1265415996 NPPES
Other 719384 UNITED CONCORDIA
Other 0174736 UNITED CONCORDIA
Other 0018148 UNITED CONCORDIA

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