Douglas, Bethany Ann
Douglas, Bethany Ann is an individual health care provider with primary practice located at 9109 Baymeadows Rd Ste 2 , Jacksonville FL 32256-1842. She recently has only one registered license in Dental Providers / Endodontics, which is considered as her primary health care specialty. Douglas, Bethany Ann can be contacted via phone (904) 265-1242.Contact Information
Primary practice address
9109 Baymeadows Rd Ste 2
Jacksonville FL 32256-1842
Phone: (904) 265-1242
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Endodontics | 1223E0200X | DN014001 | Georgia |
| Dental Providers / Endodontics | 1223E0200X | DN19093 | Florida |
Profile Details
| NPI number | 1437484128 |
|---|---|
| LBN Legal business name | Douglas, Bethany Ann |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 14th, 2009 |
| Last updated | Feb 3rd, 2022 - about 3 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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