Kunzman, David Gordon
Kunzman, David Gordon is an sole proprietor health care provider with primary practice located at 411 Fairview St , Clinton NC 28328-2311. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Kunzman, David Gordon can be contacted via phone (910) 592-3516.Contact Information
Primary practice address
411 Fairview St
Clinton NC 28328-2311
Phone: (910) 592-3516
Fax: (910) 592-0530
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | 4857 | North Carolina |
Profile Details
NPI number | 1275540619 |
---|---|
LBN Legal business name | Kunzman, David Gordon |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 1st, 2006 |
Last updated | Jul 21st, 2022 - about 3 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1275540619 | NPPES |
North Carolina | MEDICAID | 8995078 |
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