Edman, Russell George
Edman, Russell George is an sole proprietor health care provider with primary practice located at 2977 Church St. , Pine Plains NY 12567-0178. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Edman, Russell George can be contacted via phone (518) 398-5311.Contact Information
Primary practice address
2977 Church St.
Pine Plains NY 12567-0178
Phone: (518) 398-5311
Fax: (518) 398-9536
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 042-542 | New York |
Profile Details
| NPI number | 1497878821 |
|---|---|
| LBN Legal business name | Edman, Russell George |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 9th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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