Scheetz, Dana S

Scheetz, Dana S is an individual health care provider with primary practice located at 200 Doctors Drive Suite F, Jacksonville NC 28546. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Scheetz, Dana S can be contacted via phone (910) 353-4242.

Contact Information

Primary practice address
200 Doctors Drive Suite F Jacksonville NC 28546
Phone: (910) 353-4242
Fax: (910) 577-6421
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 4807 Ohio

Profile Details

NPI number 1487751905
LBN Legal business name Scheetz, Dana S
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2006
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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Identifiers

StateTypeNumberIssuer
All States NPI 1487751905 NPPES
North Carolina Other 02211 BCBS
North Carolina Other 2996 BCBS
North Carolina MEDICAID 8990244 BCBS

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