Munn, Katharine M

Munn, Katharine M is an individual health care provider with primary practice located at 104 Whalon St , Fitchburg MA 01420-7128. She recently has only one registered license in Dental Providers / Periodontics, which is considered as her primary health care specialty. Munn, Katharine M can be contacted via phone (978) 342-4280.

Contact Information

Primary practice address
104 Whalon St Fitchburg MA 01420-7128
Fax: (978) 343-4593
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 20031 Massachusetts

Profile Details

NPI number 1255328233
LBN Legal business name Munn, Katharine M
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated Jul 8th, 2007 - about 18 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 1255328233 NPPES
Massachusetts Other 20031 STATE LICENSE NUMBER

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