Reagan, Paul Davidson

Reagan, Paul Davidson is an individual health care provider with primary practice located at 1711 Doolittle Ave , Naval Air Station/ Jrb TX 76127-1133. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Reagan, Paul Davidson can be contacted via phone (817) 782-5718.

Contact Information

Primary practice address
1711 Doolittle Ave Naval Air Station/ Jrb TX 76127-1133
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 013018 Texas

Profile Details

NPI number 1134129661
LBN Legal business name Reagan, Paul Davidson
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2005
Last updated Jul 8th, 2007 - about 17 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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