Fountain, Anita C
Fountain, Anita C is an individual health care provider with primary practice located at 14122 W Mcdowell Rd Ste. 200, Goodyear AZ 85395-2503. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Fountain, Anita C can be contacted via phone (623) 536-2040.Contact Information
Primary practice address
14122 W Mcdowell Rd Ste. 200
Goodyear AZ 85395-2503
Phone: (623) 536-2040
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D2179 | Arizona |
| Dental Providers / General Practice | 1223G0001X | 2413-015 | Wisconsin |
Profile Details
| NPI number | 1902834005 |
|---|---|
| LBN Legal business name | Fountain, Anita C |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2006 |
| Last updated | Nov 4th, 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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