Sundin, Allan Carl

Sundin, Allan Carl is an individual health care provider with primary practice located at 1385 Laskin Rd , Virginia Beach VA 23451-6079. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Sundin, Allan Carl can be contacted via phone (757) 425-1547.

Contact Information

Primary practice address
1385 Laskin Rd Virginia Beach VA 23451-6079
Phone: (757) 425-1547
Fax: (757) 425-6603
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 0401004026 Virginia

Profile Details

NPI number 1942285275
LBN Legal business name Sundin, Allan Carl
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2005
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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Identifiers

StateTypeNumberIssuer
All States NPI 1942285275 NPPES
Other 4964 DORAL DENTAL
MEDICAID 8998188 DORAL DENTAL

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