Prouty, Eric A

Prouty, Eric A is an sole proprietor health care provider with primary practice located at 3151 Airway Ave Suite M2, Costa Mesa CA 92626-4607. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Prouty, Eric A can be contacted via phone (714) 668-9811.

Contact Information

Primary practice address
3151 Airway Ave Suite M2 Costa Mesa CA 92626-4607
Fax: (714) 668-9811
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 32651 California

Profile Details

NPI number 1609836469
LBN Legal business name Prouty, Eric A
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 24th, 2006
Last updated Mar 28th, 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.

Request for update

Popular Providers