Ellenthal, Adam Takeo

Ellenthal, Adam Takeo is an sole proprietor health care provider with primary practice located at 1705 High House Rd , Cary NC 27513-3601. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is his primary health care specialty. Ellenthal, Adam Takeo can be contacted via phone (919) 267-4211.

Contact Information

Primary practice address
1705 High House Rd Cary NC 27513-3601
Phone: (919) 267-4211
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Pediatric Dentistry 1223P0221X PENDING Massachusetts

Profile Details

NPI number 1447884861
LBN Legal business name Ellenthal, Adam Takeo
Credentials DDS, MPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 25th, 2020
Last updated Jul 27th, 2023 - 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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