Tavenner, Douglas Keen
Tavenner, Douglas Keen is an sole proprietor health care provider with primary practice located at 20 Mountain Gate Drive , Frederick MD 21703-6098. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Tavenner, Douglas Keen can be contacted via phone (301) 662-0100.Contact Information
Primary practice address
20 Mountain Gate Drive
Frederick MD 21703-6098
Phone: (301) 662-0100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 5112 | Maryland |
Profile Details
| NPI number | 1174678262 |
|---|---|
| LBN Legal business name | Tavenner, Douglas Keen |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 25th, 2007 |
| Last updated | Jul 8th, 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.
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