Miles, Larry Willis
Miles, Larry Willis is an sole proprietor health care provider with primary practice located at 2105 Dawson Rd , Albany GA 31707-3207. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Miles, Larry Willis can be contacted via phone (229) 432-2213.Contact Information
Primary practice address
2105 Dawson Rd
Albany GA 31707-3207
Phone: (229) 432-2213
Fax: (229) 432-5888
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | DN013118 | Georgia |
Profile Details
NPI number | 1215033667 |
---|---|
LBN Legal business name | Miles, Larry Willis |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 15th, 2006 |
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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