Fort, Edward Todd
Fort, Edward Todd is an individual health care provider with primary practice located at 8540 S Sepulveda Blvd Suite 800, Los Angeles CA 90045-3807. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Fort, Edward Todd can be contacted via phone (310) 670-1200.Contact Information
Primary practice address
8540 S Sepulveda Blvd Suite 800
Los Angeles CA 90045-3807
Phone: (310) 670-1200
Fax: (310) 670-5352
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D20523 | California |
Profile Details
| NPI number | 1578569281 |
|---|---|
| LBN Legal business name | Fort, Edward Todd |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2005 |
| Last updated | Jul 31st, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578569281 | NPPES |
| California | Other | 95-3656129 | FEDERAL TAX ID |
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