Prince, Dona W

Prince, Dona W is an individual health care provider with primary practice located at 4220 Sergeant Rd , Sioux City IA 51106-4648. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Prince, Dona W can be contacted via phone (712) 274-2228.

Contact Information

Primary practice address
4220 Sergeant Rd Sioux City IA 51106-4648
Fax: (712) 274-1362
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 6722 Iowa

Profile Details

NPI number 1497720734
LBN Legal business name Prince, Dona W
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated Jul 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497720734 NPPES
Iowa MEDICAID 0187153

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