Shirley, Edwin Kent
Shirley, Edwin Kent is an individual health care provider with primary practice located at 1231 27Th St S Suite B, Fargo ND 58103-8722. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Shirley, Edwin Kent can be contacted via phone (701) 235-8402.Contact Information
Primary practice address
1231 27Th St S Suite B
Fargo ND 58103-8722
Phone: (701) 235-8402
Fax: (701) 271-0317
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 1596 | North Dakota |
| Dental Providers / Dentist | 122300000X | D9436 | Minnesota |
Profile Details
| NPI number | 1932229333 |
|---|---|
| LBN Legal business name | Shirley, Edwin Kent |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 30th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932229333 | NPPES |
| North Dakota | MEDICAID | 40653 |
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