Neal, Donald C

Neal, Donald C is an individual health care provider with primary practice located at 1587 Vernon Rd , Lagrange GA 30240-4146. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Pathology, which is considered as his primary health care specialty. Neal, Donald C can be contacted via phone (706) 884-2655.

Contact Information

Primary practice address
1587 Vernon Rd Lagrange GA 30240-4146
Phone: (706) 884-2655
Fax: (706) 883-7670
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X 010231 Georgia

Profile Details

NPI number 1821103086
LBN Legal business name Neal, Donald C
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1821103086 NPPES
Georgia MEDICAID 000399605A

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