Sevilla, Courtney
Sevilla, Courtney is an individual health care provider with primary practice located at 3420 Bayside Lakes Blvd Se , Palm Bay FL 32909-6894. She recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is her primary health care specialty. Sevilla, Courtney can be contacted via phone (321) 722-0155.Contact Information
Primary practice address
3420 Bayside Lakes Blvd Se
Palm Bay FL 32909-6894
Phone: (321) 722-0155
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DN21195 | Florida |
| Dental Providers / Dentist | 122300000X | DN21195 | Florida |
Profile Details
| NPI number | 1023499431 |
|---|---|
| LBN Legal business name | Sevilla, Courtney |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 11th, 2015 |
| Last updated | Dec 17th, 2020 - 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.
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