Peck, Connor
Peck, Connor is an individual health care provider with primary practice located at 515 Delaware St Se , Minneapolis MN 55455-0357. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Peck, Connor can be contacted via phone (612) 626-0140.Contact Information
Primary practice address
515 Delaware St Se
Minneapolis MN 55455-0357
Phone: (612) 626-0140
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | R713 | Minnesota |
Profile Details
| NPI number | 1821581760 |
|---|---|
| LBN Legal business name | Peck, Connor |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2018 |
| Last updated | Oct 6th, 2019 - about 5 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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