George, Louis Theodore

George, Louis Theodore is an individual health care provider with primary practice located at 6401 S Minnesota Ave , Sioux Falls SD 57108-2504. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. George, Louis Theodore can be contacted via phone (605) 335-1080.

Contact Information

Primary practice address
6401 S Minnesota Ave Sioux Falls SD 57108-2504
Phone: (605) 335-1080
Fax: (605) 332-4550
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X D0644 South Dakota

Profile Details

NPI number 1861692949
LBN Legal business name George, Louis Theodore
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2007
Last updated Jul 18th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1861692949 NPPES
Other D0644 DENTAL LICENSE

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