Slade, Dennis T.

Slade, Dennis T. is an individual health care provider with primary practice located at 1301 Fayetteville St , Durham NC 27707-2325. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Slade, Dennis T. can be contacted via phone (919) 956-4000.

Contact Information

Primary practice address
1301 Fayetteville St Durham NC 27707-2325
Phone: (919) 956-4000
Fax: (919) 956-4535
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 4536 North Carolina

Profile Details

NPI number 1619910049
LBN Legal business name Slade, Dennis T.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Apr 17th, 2023 - about last year

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 1619910049 NPPES
North Carolina MEDICAID 7997845

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