Paver, Nicholas Rudolph

Paver, Nicholas Rudolph is an individual health care provider with primary practice located at 24116 Greater Mack Ave , Saint Clair Shores MI 48080-1410. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Paver, Nicholas Rudolph can be contacted via phone (586) 773-9840.

Contact Information

Primary practice address
24116 Greater Mack Ave Saint Clair Shores MI 48080-1410
Fax: (586) 773-9958
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2901009637 Michigan

Profile Details

NPI number 1780746651
LBN Legal business name Paver, Nicholas Rudolph
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 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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