Stadeker, Wilkie J
Stadeker, Wilkie J is an sole proprietor health care provider with primary practice located at 123 Marble Mill Rd Nw Suite B, Marietta GA 30060-7954. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Stadeker, Wilkie J can be contacted via phone (678) 354-5119.Contact Information
Primary practice address
123 Marble Mill Rd Nw Suite B
Marietta GA 30060-7954
Phone: (678) 354-5119
Fax: (678) 354-5191
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | 011447 | Georgia |
Profile Details
| NPI number | 1952523623 |
|---|---|
| LBN Legal business name | Stadeker, Wilkie J |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 3rd, 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.
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