Speicher, Mary A
Speicher, Mary A is an sole proprietor health care provider with primary practice located at 7915 Lake Manassas Dr Suite 115, Gainesville VA 20155-3258. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Speicher, Mary A can be contacted via phone (571) 261-9470.Contact Information
Primary practice address
7915 Lake Manassas Dr Suite 115
Gainesville VA 20155-3258
Phone: (571) 261-9470
Fax: (571) 261-9472
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 0401007331 | Virginia |
Profile Details
| NPI number | 1205839073 |
|---|---|
| LBN Legal business name | Speicher, Mary A |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 24th, 2005 |
| Last updated | Dec 2nd, 2021 - about 3 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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