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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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