Reardon, Daniel Peter

Reardon, Daniel Peter is an sole proprietor health care provider with primary practice located at 6588 E Main St , Farmington NM 87402-5122. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Reardon, Daniel Peter can be contacted via phone (505) 326-6800.

Contact Information

Primary practice address
6588 E Main St Farmington NM 87402-5122
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DD2880 New Mexico

Profile Details

NPI number 1407050586
LBN Legal business name Reardon, Daniel Peter
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2007
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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