Godfrey, Daniel
Godfrey, Daniel is an individual health care provider with primary practice located at 611 W Park St , Urbana IL 61801-2501. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Godfrey, Daniel can be contacted via phone (217) 326-1297.Contact Information
Primary practice address
611 W Park St
Urbana IL 61801-2501
Phone: (217) 326-1297
Fax: (217) 326-1300
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 12014089A | Indiana |
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | 018002288 | Illinois |
Profile Details
NPI number | 1861185860 |
---|---|
LBN Legal business name | Godfrey, Daniel |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 26th, 2023 |
Last updated | Jul 14th, 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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