Fackrell, Daniel C

Fackrell, Daniel C is an individual health care provider with primary practice located at 1330 Congress St , Portland ME 04102-2144. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Fackrell, Daniel C can be contacted via phone (207) 879-0010.

Contact Information

Primary practice address
1330 Congress St Portland ME 04102-2144
Phone: (207) 879-0010
Fax: (207) 879-0011
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 6218732 Utah
Dental Providers / Endodontics 1223E0200X 4291 Maine

Profile Details

NPI number 1316959513
LBN Legal business name Fackrell, Daniel C
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2006
Last updated Jul 20th, 2024 - about last year

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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