Dooms, Ingrid

Dooms, Ingrid is an individual health care provider with primary practice located at 1749 S Kings Ave , Brandon FL 33511-6220. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Dooms, Ingrid can be contacted via phone (813) 661-1115.

Contact Information

Primary practice address
1749 S Kings Ave Brandon FL 33511-6220
Fax: (813) 661-7771
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN9841 Florida

Profile Details

NPI number 1801951546
LBN Legal business name Dooms, Ingrid
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2006
Last updated Nov 9th, 2011 - about 14 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 1801951546 NPPES
Florida MEDICAID 0774961-00

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