Godbolt, Emerson G
Godbolt, Emerson G is an sole proprietor health care provider with primary practice located at 1310 Ponderosa Dr Ste A , Sandpoint ID 83864-5073. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / General Practice is his primary health care specialty. Godbolt, Emerson G can be contacted via phone (208) 263-7641.Contact Information
Primary practice address
1310 Ponderosa Dr Ste A
Sandpoint ID 83864-5073
Phone: (208) 263-7641
Fax: (208) 265-4333
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 5219 | Idaho |
| Dental Providers / Dentist | 122300000X | 7811 | Montana |
| Dental Providers / Dentist | 122300000X | DEN-DEN-LIC-7811 | Montana |
Profile Details
| NPI number | 1902211725 |
|---|---|
| LBN Legal business name | Godbolt, Emerson G |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 1st, 2014 |
| Last updated | Mar 5th, 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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