Sanford, Douglas Sconia
Sanford, Douglas Sconia is an individual health care provider with primary practice located at 127 Kingston Dr , Chapel Hill NC 27514-1650. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dental Public Health. Dental Providers / Dental Public Health is his primary health care specialty. Sanford, Douglas Sconia can be contacted via phone (919) 933-9494.Contact Information
Primary practice address
127 Kingston Dr
Chapel Hill NC 27514-1650
Phone: (919) 933-9494
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | 10292 | North Carolina |
Dental Providers / Dental Public Health | 1223D0001X | 10292 | North Carolina |
Profile Details
NPI number | 1659636736 |
---|---|
LBN Legal business name | Sanford, Douglas Sconia |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 5th, 2012 |
Last updated | Aug 19th, 2019 - about 5 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1659636736 | NPPES |
North Carolina | MEDICAID | 1659636736 |
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