Dundervill, Kathryn
Dundervill, Kathryn is an individual health care provider with primary practice located at 7401 Creedmoor Rd , Raleigh NC 27613-1640. She recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is her primary health care specialty. Dundervill, Kathryn can be contacted via phone (919) 719-1780.Contact Information
Primary practice address
7401 Creedmoor Rd
Raleigh NC 27613-1640
Phone: (919) 719-1780
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 12624 | North Carolina |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 0442000383 | Virginia |
Dental Providers / Pediatric Dentistry | 1223P0221X | 12624 | North Carolina |
Profile Details
NPI number | 1669097143 |
---|---|
LBN Legal business name | Dundervill, Kathryn |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 10th, 2020 |
Last updated | Jul 13th, 2022 - about 2 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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