Dominique, Paul

Dominique, Paul is an individual health care provider with primary practice located at 16B Felton Pl , Cartersville GA 30120-2152. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is his primary health care specialty. Dominique, Paul can be contacted via phone (770) 382-3536.

Contact Information

Primary practice address
16B Felton Pl Cartersville GA 30120-2152
Phone: (770) 382-3536
Fax: (770) 382-1915
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Pediatric Dentistry 1223P0221X DN013383 Georgia

Profile Details

NPI number 1134227705
LBN Legal business name Dominique, Paul
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated May 16th, 2016 - about 8 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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