Luiten, Douglas J

Luiten, Douglas J is an sole proprietor health care provider with primary practice located at 4001 Laurel St Suite 208, Anchorage AK 99508-5332. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Luiten, Douglas J can be contacted via phone (907) 561-0675.

Contact Information

Primary practice address
4001 Laurel St Suite 208 Anchorage AK 99508-5332
Fax: (907) 562-1563
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 710 Alaska

Profile Details

NPI number 1952521346
LBN Legal business name Luiten, Douglas J
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 26th, 2007
Last updated Jul 8th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952521346 NPPES
Alaska Other 832836 UNITED CONCORDIA

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