Litaker, William Mundy
Litaker, William Mundy is an individual health care provider with primary practice located at 3070 11Th Avenue Dr Se , Hickory NC 28602-8336. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Litaker, William Mundy can be contacted via phone (828) 695-5778.Contact Information
Primary practice address
3070 11Th Avenue Dr Se
Hickory NC 28602-8336
Phone: (828) 695-5778
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | NC5405 | North Carolina |
Profile Details
| NPI number | 1083617591 |
|---|---|
| LBN Legal business name | Litaker, William Mundy |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 30th, 2005 |
| Last updated | Oct 19th, 2018 - about 6 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 | 1083617591 | NPPES |
| North Carolina | MEDICAID | 8995339 | |
| North Carolina | Other | NC5405 | |
| North Carolina | Other | 95339 |
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