Donnelly, Amanda R

Donnelly, Amanda R is an sole proprietor health care provider with primary practice located at 742 Graham Rd , Cuyahoga Falls OH 44221-1055. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Donnelly, Amanda R can be contacted via phone (330) 929-2616.

Contact Information

Primary practice address
742 Graham Rd Cuyahoga Falls OH 44221-1055
Fax: (330) 929-2636
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 21342 Ohio

Profile Details

NPI number 1639263825
LBN Legal business name Donnelly, Amanda R
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2006
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 1639263825 NPPES
Ohio Other 01496920 UNITED CONCORDIA PROVIDER

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