Russ, Michael Vincent
Russ, Michael Vincent is an sole proprietor health care provider with primary practice located at 111 Centre St , Nutley NJ 07110-3719. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Russ, Michael Vincent can be contacted via phone (973) 662-0889.Contact Information
Primary practice address
111 Centre St
Nutley NJ 07110-3719
Phone: (973) 662-0889
Fax: (973) 662-0236
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DI21517 | New Jersey |
Profile Details
| NPI number | 1427188945 |
|---|---|
| LBN Legal business name | Russ, Michael Vincent |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 6th, 2007 |
| Last updated | Jul 8th, 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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