Dingwerth, Douglas

Dingwerth, Douglas is an individual health care provider with primary practice located at 4015 Worth St , Dallas TX 75246-1608. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Dingwerth, Douglas can be contacted via phone (214) 823-5444.

Contact Information

Primary practice address
4015 Worth St Dallas TX 75246-1608
Phone: (214) 823-5444
Fax: (214) 823-1581
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 18174 Illinois

Profile Details

NPI number 1659485944
LBN Legal business name Dingwerth, Douglas
Credentials D.D.S.,M.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2006
Last updated Jul 9th, 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 1659485944 NPPES
Texas MEDICAID 041741202

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