Hauss, David Jonathan

Hauss, David Jonathan is an individual health care provider with primary practice located at 823 Atlantic Ave , Long Beach CA 90813-4512. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Hauss, David Jonathan can be contacted via phone (562) 435-8339.

Contact Information

Primary practice address
823 Atlantic Ave Long Beach CA 90813-4512
Fax: (562) 436-9422
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 31076 California

Profile Details

NPI number 1871598144
LBN Legal business name Hauss, David Jonathan
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2005
Last updated Jul 9th, 2007 - about 18 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 1871598144 NPPES
California MEDICAID B31076-01

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