Linavong, Vanphaphone
Linavong, Vanphaphone is an individual health care provider with primary practice located at 407 W Eldorado Pkwy Ste. 140, Little Elm TX 75068-5075. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Linavong, Vanphaphone can be contacted via phone (972) 292-3092.Contact Information
Primary practice address
407 W Eldorado Pkwy Ste. 140
Little Elm TX 75068-5075
Phone: (972) 292-3092
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 20505 | Texas |
Profile Details
| NPI number | 1871555037 |
|---|---|
| LBN Legal business name | Linavong, Vanphaphone |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 4th, 2006 |
| Last updated | Sep 22nd, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871555037 | NPPES |
| Texas | MEDICAID | 1573685-01 |
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