Dickerhoff, David Gary
Dickerhoff, David Gary is an individual health care provider with primary practice located at 103 Superior Drive , Spring Lake NC 28390. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Dickerhoff, David Gary can be contacted via phone (910) 497-3200.Contact Information
Primary practice address
103 Superior Drive
Spring Lake NC 28390
Phone: (910) 497-3200
Fax: (910) 497-2209
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 6333 | North Carolina |
Profile Details
| NPI number | 1053405019 |
|---|---|
| LBN Legal business name | Dickerhoff, David Gary |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Mar 7th, 2023 - about 2 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 | 1053405019 | NPPES |
| Other | 854019 | UNITED CONCORDIA |
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