Pender, Danny S
Pender, Danny S is an sole proprietor health care provider with primary practice located at 234 Bert Martin Rd , Mount Olive NC 28365-7078. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Pender, Danny S can be contacted via phone (919) 658-5077.Contact Information
Primary practice address
234 Bert Martin Rd
Mount Olive NC 28365-7078
Phone: (919) 658-5077
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | NC5323 | North Carolina |
Profile Details
| NPI number | 1164613428 |
|---|---|
| LBN Legal business name | Pender, Danny S |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 1st, 2007 |
| Last updated | Aug 1st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164613428 | NPPES |
| North Carolina | Other | 8995657 | BLUE CROSS BLUE SHIELD |
| North Carolina | MEDICAID | 8995657 | BLUE CROSS BLUE SHIELD |
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