Phelps, Stephen Matthew
Phelps, Stephen Matthew is an individual health care provider with primary practice located at 205 Waleska Road Suite 2-A , Canton GA 30114. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Phelps, Stephen Matthew can be contacted via phone (770) 479-3713.Contact Information
Primary practice address
205 Waleska Road Suite 2-A
Canton GA 30114
Phone: (770) 479-3713
Fax: (770) 479-4031
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 011713 | Georgia |
Profile Details
NPI number | 1255580791 |
---|---|
LBN Legal business name | Phelps, Stephen Matthew |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 9th, 2008 |
Last updated | Sep 9th, 2008 - about 16 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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