Surface, Warren
Surface, Warren is an individual health care provider with primary practice located at 2435 Plantation Center Dr Suite 100, Matthews NC 28105-5147. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Surface, Warren can be contacted via phone (704) 847-7426.Contact Information
Primary practice address
2435 Plantation Center Dr Suite 100
Matthews NC 28105-5147
Phone: (704) 847-7426
Fax: (704) 847-5417
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 7385 | North Carolina |
Profile Details
| NPI number | 1629122239 |
|---|---|
| LBN Legal business name | Surface, Warren |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 22nd, 2007 |
| Last updated | Jul 9th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629122239 | NPPES |
| North Carolina | MEDICAID | 89902HG |
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