Sturdevant, John R

Sturdevant, John R is an individual health care provider with primary practice located at 101 Brauer Hall Cb # 7450 , Chapel Hill NC 27599-7450. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Sturdevant, John R can be contacted via phone (919) 966-1221.

Contact Information

Primary practice address
101 Brauer Hall Cb # 7450 Chapel Hill NC 27599-7450
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 4689 North Carolina

Profile Details

NPI number 1750414173
LBN Legal business name Sturdevant, John R
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1750414173 NPPES
North Carolina MEDICAID 89-98173

Popular Providers