Drake, Ethan

Drake, Ethan is an individual health care provider with primary practice located at 759 Stouffer Ave , Chambersburg PA 17201-2859. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Drake, Ethan can be contacted via phone (717) 658-4326.

Contact Information

Primary practice address
759 Stouffer Ave Chambersburg PA 17201-2859
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X DS037559 Pennsylvania

Profile Details

NPI number 1205068368
LBN Legal business name Drake, Ethan
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2009
Last updated Nov 15th, 2012 - about 13 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.

Request for update

Popular Providers